Scleroderma

Case contributed by Dr Anthony Nuñez

Presentation

Patient with a known autoinmune connective tissue disorder. Thoracic X-ray and CT for suspected pulmonary infection (cough and fever).

Patient Data

Age: 30 years
Gender: Female
X-ray

Thoracic X-Ray

There are  amorphous cloud-like calcifications in the soft tissues of the back.  Also, there are other calcifications surrounding the shoulder joints consistent with calcifications in periarticular ligaments, as well as around the anterior axillary folds.

CT

Computed Tomography

Erector spinae muscles present extensive bilateral calcifications as well as the posterior thoracic wall on the left side and the hypochondrium on both sides.

There is no evidence of lung infection or lung manifestations of the known disease. 

Case Discussion

Scleroderma has a strong predilection for women (F:M = 3:1) and is a disease of middle age. It can have multiple manifestations in different systems such as pulmonary, gastrointestinal and renal. In this case, the patient has involvement of the musculoskeletal system, manifesting as subcutaneous, intramuscular and periarticular calcifications. There is no evidence of pulmonary involvement.

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Case information

rID: 68271
Published: 22nd May 2019
Last edited: 18th Jun 2019
Inclusion in quiz mode: Included
Institution: University Institute CEMIC

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