Scleroderma

Case contributed by Dr Mohamad Alfared

Presentation

Bilateral hand and wrist pain. Epigastric pain. Known case of scleroderma.

Patient Data

Age: 20 years
Gender: Female
X-ray

Bilateral tuft resorption associated with finger tip soft tissue atrophy and peri-articular osteopenia. No abnormal soft tissue malefaction  

Case Discussion

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)
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Case information

rID: 62960
Published: 9th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Arab American Radiology & Diagnostic Center

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