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A 63-year-old woman presented with history of severe diffuse pain (even on touch) and swelling over right forearm and hand for 6 weeks. On inquiry, she gives history of past herpetic lesions over same side 4 months back. On examination, there was diffuse swelling, tenderness and warmth over right hand and forearm, along with increased sweating and loss of hair ( Figure 1A) . Radiograph showed patchy osteopenia around right wrist and small joints of hand ( Figure 1B) . Triple phase skeletaldoi:10.31138/mjr.32.2.174 fatcat:chrdtx5e5jauhhoayskzmh5axq