Systemic sclerosis

 

Doctor's Information

Name : Morteza
Family : Sanei Taheri
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Dr.Ghofrani

 

Patient's Information

Gender : Female
Age : 39

 

Case Section

Muskuloskeletal System

 

Clinical Summary

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Images

 

Imaging Procedures and Findings

The PA radiograph of both hands shows juxta-articular osteopenia, arthritic changes in DIPs, both radiocarpal and carpal joints more marked on the right side with erosion at lateral side of the 3rd right middle phalanx and left ulnar styloid. The left 5th PIP joint seems to be subluxed. Soft ??tissue calcification is also noted.

 

Discussion

In systemic sclerosis, fibrosis of the skin especially over distal phalanges leads to resorption of the distal and then progressively of the middle and proximal phalanges. Soft-tissue calcification-typically subcutaneous - is seen, especially over distal phalanges and around joints. These changes may be preceded or accompanied by a polyarthritis similar to rheumatoid arthritis in at least 10% of patients. Osteoporosis, joint space narrowing, erosions and subluxations may be seen. Changes of an erosive arthropathy in association with calcification should suggest the presence of progressive systemic sclerosis.

 

Final Diagnosis

Systemic sclerosis

 

References

1- Sutton D. Textbook of radiology and Imaging. 7th edition, 2003 2- Brant WE, Helms CA. Fundamentals of diagnostic Radiology. 3rd edition, 2007

 

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