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(A) Vasospasm with cyanosis and oedema, Terry’s nails, and facial flushing, rash and oedema; (B) After third intravenous immunoglobulin infusion, face returned to normal and hand colour, swelling and temperature improved. (A) Vasospasm with cyanosis and oedema, Terry’s nails, and facial flushing, rash and oedema; (B) After third intravenous immunoglobulin infusion, face returned to normal and hand colour, swelling and temperature improved. The patient gave her permission to use uncensored photographs. Leonard B Weinstock et al. BMJ Case Reports 2018;2018:bcr ©2018 by BMJ Publishing Group Ltd
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