Exertional Hand Paresthesias And Skin Changes In A Runner

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Exertional Hand Paresthesias And Skin Changes In A Runner - Page #3

Lab Studies: ANA - Positive at 1:40, negative at 1:80 and 1:160. Speckled pattern CBC - WBC: 4690; HGB: 16; HCT: 46.5%; PLT: 197,000; normal differential CRP - Less than 0.1 RF - Less than 30 ESR - 2 Other Studies: Chest X-ray - Normal. MRA/MRV bilateral upper extremities, thoracic outlet protocol: Normal caliber subclavian/axillary arteries and veins bilaterally without external compression. No evidence of vascular etiology thoracic outlet syndrome. Nailfold capillography: Normal on all 10 fingers [Photo 2]. Consultations: Rheumatology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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