40-year-old female, clinical history withheld

 

Images

Doctor's Information

Name : Morteza
Family :Sanei Taheri
Affiliation : Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree: Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Hussein Soleiman Tabar

 

Patient's Information

Gender : Female
Age : 40

 

Case Section

Muskuloskeletal System

 

Clinical Summary

40-year-old female, clinical history withheld

 

 

Imaging Procedures and Findings

Plain radiographs reveal widespread amorphous soft tissue calcification.

 

Discussion

Progressive systemic sclerosis (Scleroderma), a condition with unknown etiology, causes small vessel disease and fibrosis in several organs. Scleroderma is the cutaneous manifestation of the disease. It often presents with Raynaud's phenomenon and skin changes. Typical features are terminal phalangeal resorption (acro-osteolysis) due to pressure atrophy, discrete dense plaques of calcification (calcinosis circumscripta) and occasional intra-articular calcification. Erosive changes can occur which may be due to concurrent rheumatoid arthritis or some form of overlapping condition. The related CREST syndrome is due to the combination of calcinosis, Raynaud's phenomenon, oesophageal dysmotility, scleroderma and telangiectasia. The calcification may also involve the tendon sheaths.

 

Final Diagnosis

Progressive systemic sclerosis

 

References

Adam A, Dixon AK: Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging, 5th ed. Philadelphia: Elsevier Churchill Livingstone, 2008.

 

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