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• W314602492 abstract "A 46-year-old woman was seen by a rheumatology consultant because of stiffness of the joints and skin. She had been well until 7 years earlier, when an episode of group A streptococcal pneumonia complicated by septic shock left her with chronic kidney disease and a painful peripheral neuropathy. Three years later, gradually progressive stiffness of the skin of her hands and feet developed, with pain and stiffness of the joints; renal failure worsened, and respiratory distress and congestive heart failure developed. A diagnostic procedure was performed." @default.
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• W314602492 date "2008-02-21" @default.
• W314602492 modified "2023-09-25" @default.
• W314602492 title "Case 6-2008" @default.
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• W314602492 doi "https://doi.org/10.1056/nejmcpc0708697" @default.
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