Case 41

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 41

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A 27-year-old female with discoid lupus was referred to the rheumatology clinic with hand pain. Her pain was associated with episodic attacks of well-demarcated colour changes affecting both hands, usually on exposure to cold. She had not experienced any digital ulceration but was concerned that her lupus had become more systemic in nature. She smoked 20 cigarettes a day and drank eight cups of coffee a day. She had a past medical history of migraine and there was a family history of primary Raynaud’s phenomenon in her aunt. She had recently been prescribed hydroxychloroquine and topical steroid therapy for a rash.

Chapter.  1505 words. 

Subjects: Rheumatology

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