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Clinical Quiz Jun 2021

A 45-year-old Indonesian domestic helper presented with onset within a few days of itchy swollen fingers on both hands

King-man Ho

Readers are invited to participate in the Clinical Quiz*. Simply answer the question, fill in the reply slip and return it to the College by 18 August 2021. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the September 2021 issue.

*Note: There would be no prize award for this issue while sponsorship for Clinical Quiz has been ended in September 2020 issue. The answer of the Clinical Quiz for this issue will be announced in the next issue. Thank you for your support.


Clinical history:

A 45-year-old Indonesian domestic helper presented on 15 January this year with onset within a few days of itchy swollen fingers on both hands. She did not remember whether she had sustained any injury while she was preparing seafood for hot pot for her employer’s family. She remained well all along without any other systemic symptom.


What was the diagnosis?

A. Erythromelalgia
B. Necrotising fasciitis caused by Vibrio vulnificus
C. Raynaud’s phenomenon
D. Chilblain

Answer:
D. Chilblain

N/A
The slide and the question were prepared by:
Dr King-man Ho, FRCP (Glasg, Edin), MRCP (UK), FHKCP, FHKAM (Medicine)
Consultant Dermatologist-in-Charge,
Social Hygiene Service, PHSB, CHP, DH

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