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My fingers are discoloured
  1. Nicklaus Paul Brandehoff,
  2. Megann Young,
  3. Danielle Campagne
  1. Department of Emergency Medicine, UCSF-Fresno, Fresno, California, USA
  1. Correspondence to Dr Nicklaus Paul Brandehoff, Department of Emergency Medicine, UCSF-Fresno, 155 North Fresno Street, Fresno, CA 93701, USA; nbrandehoff{at}

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A 52-year-old man presented to the emergency department, in September, with discolouration of his fingertips for approximately 1 week. He first noticed the problem after wearing wet gloves at work for a day. Initially the lesions were painful and ‘looked like blisters’; now he reports decreased sensation to the affected areas and notes that ‘they feel hard’, but are no longer painful. He denies any fevers, chills, chest pain, shortness of breath, abdominal pain, …

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  • Contributors All authors contributed to the patient's care in the emergency department and were directly involved in drafting, editing and submitting this report.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.