PMC7081466_01
Bilateral symmetrical pitting edema of the dorsum of the hands.
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PMC7081466_01_10.1177_2050313X20910920-fig1.jpg
fig1-2050313X20910920
Rest of the clinical examinations including cardiovascular, respiratory, abdominal, and neurological examinations were unremarkable (initial presentation of the patient is shown in Figure 1).