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A 43-year-old fireman presented with a soft swelling in his right and left hands at the dorsal aspect of the first web space. The man reported that the swelling had progressed gradually over the past 18 months (fig 1). He denied any trauma to the hands or stereotype activities. He had no pain or any other symptoms, and used his hands without …
Competing interests: None declared.
Patient consent: Obtained.
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