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n engl j med 370;12 march 20, 2014 1148 A 69-year-old woman presented with bilateral digital necrosis, which had developed over a period of 2 months (Panels A and B). One year earlier, new-onset Sjögren’s syndrome and painful Raynaud’s phenomenon had developed. Nifedipine and topical nitroglycerin failed to improve symptoms. The patient did not(More)
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