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Eleven former queens were in attendance and they included Heer Patel (2024), Ann Elyse Boortz (2023), Ragan Christian(2021), Rachel Dezarn (2019), Victoria Cates Kash (2012), Molly Clark Steenbergen (2010), Polly Cowan Steenbergen (2009), Lindsay McGhee Costello (1998), Laura Bailey Gregory (1997) Emily Trimble Christian (1995), and Darla Sherrod Barrow (1989)

It causes painful swelling that can eventually result in bone loss and joint deformity

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