Scleroderma with musculoskeletal and gastrointestinal involvements
Diagnosis almost certain
Patient Data
Age: 30 years
Gender: Female
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Lack of peristalsis is noted during barium swallow .
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Acro-osteolysis (resorption of the distal phalanges) and mild periarticular osteoporosis.
Case Discussion
Involvement of the esophagus, or whole digestive tract in scleroderma, or progressive systemic sclerosis (PSS), is defined by lack of peristalsis. To suppress the gravity effect, patient should be examined in lying down position (decubitus or prone).
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