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A woman in her 60s visited her GP with a two year history of red rashes on her hands and tongue, along with episodes of her fingertips turning white when exposed to cold. She had not previously sought medical care because the symptoms were mild. However, her symptoms had worsened in the past winter. She was diagnosed with Raynaud’s phenomenon and referred to our rheumatology department. She had no history of digital ulcers, skin tightening, joint pain, swelling, muscle weakness, heartburn, reflux, dysphagia, dyspnoea, or epistaxis, and no relevant family history.