{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:27:39Z","timestamp":1745468859328,"version":"3.40.4"},"reference-count":4,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; A 57-year-old female with a 33-year history of constant hand discoloration and paronychia had undergone multiple evaluations with a failure to find a diagnosis. She continues to undergo an evolving treatment regimen and diagnostic workup in an effort to find a long-eluded diagnosis. &lt;b&gt;&lt;i&gt;Clinical Presentation:&lt;\/i&gt;&lt;\/b&gt; She began to develop superficial ulcerations over the proximal phalanx of her fingers, often pruritic and erythematous, with pain and edema. &lt;b&gt;&lt;i&gt;Intervention:&lt;\/i&gt;&lt;\/b&gt; She has since been managed with nifedipine and sildenafil and intermittent stellate ganglion blocks. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Despite still lacking a formal diagnosis, her constellation of symptoms is most likely the result of an atypical presentation of Raynaud\u2019s disease.<\/jats:p>","DOI":"10.1159\/000499495","type":"journal-article","created":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T22:00:31Z","timestamp":1553205631000},"page":"394-396","source":"Crossref","is-referenced-by-count":2,"title":["An Atypical Presentation of Raynaud\u2019s Disease"],"prefix":"10.1159","volume":"28","author":[{"given":"Omar","family":"Viswanath","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacquelin","family":"Peck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jatinder\u00a0S.","family":"Gill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,3,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38098"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.14336"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-016-0473-4"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2018-000783"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/499495","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/499495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:28:31Z","timestamp":1745425711000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000499495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,7,12]]},"published-print":{"date-parts":[[2019,7,19]]}},"URL":"https:\/\/doi.org\/10.1159\/000499495","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"type":"print","value":"1011-7571"},{"type":"electronic","value":"1423-0151"}],"subject":[],"published":{"date-parts":[[2019]]}}}