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unilatteral hand swelling

Today I meet in the primary health care that I work in it a strange case for me
I mean that I didn’t such this case before
If any one have any idea about the differential diagnosis of this case I will be too happy if he help me

This is the brief history

Middle aged female patient come to primary health care unit complaining of unilateral hand swelling from 2dayes gradual in course
There no history previous trauma , no history chronic illness , no history of previous operation


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