Bilateral hand and wrist pain. Epigastric pain. Known case of scleroderma.
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Bilateral tuft resorption associated with finger tip soft tissue atrophy and peri-articular osteopenia. No abnormal soft tissue malefaction
3 case question available
Scleroderma is an autoimmune disease characterized by multisystem fibrosis and soft tissue calcification.
The hands are the most common site of musculoskeletal involvement, and characterized by:
- acro-osteolysis (resorption of distal phalanx) .
- periarticular osteopenia
- joint space narrowing
- bony erosions
- subcutaneous and periarticular calcification
- atrophy of the finger tips
- hand deformity (flexion contractions)