Case that's quite desperate, no question (4)

I believe the answer is:

etui

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'case' is the definition.
(case for needlework equipment)

I don't understand how the rest of the clue works.

(Other definitions for etui that I've seen before include "Case containing sharp objects" , "Small needle case e" , "Ornamental bag for needles etc." , "Tiny ladies' bag" , "Ornamental ladies' bag for small articles" .)

I've seen this clue in The Independent.

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