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  • The 1951 Orr-Fainer article was not among the authorities cited in the information letter.Another commenter stated that VA's Adjudication Procedures Manual, M21-1, Part VI, para. 11.20, mentions other signs and symptoms, such as joint pain and stiffness, weakness of hands or feet, Raynaud's phenomenon, and vascular insufficiency, that may represent chronic effects of cold injury.
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