Presentation
Joint pain for investigation.
Patient Data
Age: 65 years
Gender: Female
From the case:
Systemic sclerosis


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Extensive soft tissue calcification in a predominantly periarticular distribution.
Acro-osteolysis of the soft tissues of the terminal tufts.
Extensive demineralization of bones.
There are no erosions.
Case Discussion
Periarticular calcification of the hands and feet is characteristic of systemic sclerosis involving the musculoskeletal system.
Other conditions where multiple sites of soft tissue periarticular calcification is seen include:
- gout
- end stage renal failure with changes of hyperparathyroidism