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A 4-year-old girl with a recent diagnosis of autism developed severe swelling of her right hand after wearing an elastic ‘Loom band’ (figure 1) overnight. Examination revealed an oedematous, erythematous hand with intact neurovascular status (figure 2). Non-verbal communication was noted to be the preferred method of interaction. Finger flexion and extension were markedly reduced. Initial management with analgesia and limb elevation …
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