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A forty-two year old man was referred to the Dept. of Vascular Medicine because of severe intermittent claudication of both legs, that started at the age of 27. He never smoked, used alcohol in moderation and didn't use illicit drugs. His medication included acetylsalicylic acid and rosuvastatin. His family history was unremarkable, notably with no atherosclerotic disease and no consanguinity. His medical history revealed pain in several small joints of the hands, knees, and ankles since 1994,doi:10.1016/j.ijcard.2016.03.068 pmid:27045881 fatcat:crth2cmwjvernglunt53hmd4vm