Teen’s Summer Job Affecting Her Hands: Can You Diagnose?

A 19-year-old woman asked her primary care doctor about something strange that had started happening to her hands any time she was at her summer job where they kept the air conditioning at frigid temperatures. She noticed that fingers on both hands would turn white and then blue. They would feel cold and kind of numb, but not really painful. This had been going on for many weeks over the course of the summer, which had been pretty stressful because it was a tough internship.

Is it Raynaud phenomenoncryoglobulinemiacold urticaria, or chilblains?

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