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This years theme, Give to Gain, reminds us that generosity creates lasting impact for our people, our partners, and the communities we serve

Clinical Manifestations/Signs and Symptoms Extreme sensitivity to heat and cold Pain in the digits due to ischemia Cyanotic and ruddy Nails beds thicken Peripheral pulses become weaken and thread Skin may have blackish ulcerations Intermittent claudication is a hallmark symptom, identified by cramps in the legs after exercise

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