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Image of the Month—Quiz Case FREE

David J. Caparrelli, MD; Deborah M. Tabulov, CRNP; Julie A. Freischlag, MD
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Section Editor: Grace S. Rozycki, MD

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Arch Surg. 2006;141(5):513. doi:10.1001/archsurg.141.5.513-a.
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A 21-year-old otherwise healthy woman presented with a 4-month history of pain in the fingertips of her left hand. She also reported color changes in the hand from red to white and then blue. One month before presentation she began having left shoulder pain and developed discolored spots on the palm of her left hand (Figure 1). She underwent a chest x-ray examination and arteriography of the left upper extremity (Figure 2).

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Figure 1.

Clinical photograph demonstrating multiple punctuate discolorations on the palmar surface of the left hand.

Grahic Jump Location

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Figure 2.

Digital subtraction angiogram of the left upper extremity showing aneurysmal dilation of the subclavian artery.

Grahic Jump Location

WHAT IS THE DIAGNOSIS?

A. Raynaud phenomenon

B. Takayasu arteritis

C. Subclavian artery aneurysm

D. Subacute bacterial endocarditis

Figures

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Figure 1.

Clinical photograph demonstrating multiple punctuate discolorations on the palmar surface of the left hand.

Grahic Jump Location
Place holder to copy figure label and caption
Figure 2.

Digital subtraction angiogram of the left upper extremity showing aneurysmal dilation of the subclavian artery.

Grahic Jump Location

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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