case_images: PMC10853897_01
case_images: Clinical manifestations on the hands.. Sclerodactyly is seen as a tightening and thickening of the finger's skin. This causes the fingers to curl inward resulting in fixed contracture deformity of the digits due to skin thickening and forming a clawed-shaped hand. There are multiple skin ulcerations over bony prominences where the skin is contracted and tight and susceptible to trauma. The black arrow shows white chalk hard material consistent with calcium deposits indicating calcinosis cutis.
case_images: cureus-0016-00000052003-i01.jpg
case_images: PMC10853897_01_cureus-0016-00000052003-i01.jpg
case_images: FIG1
case_images: Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria, complicated by interstitial lung disease, pulmonary arterial hypertension, skin thickening (Figures 1, 2), and esophageal dilation (Figure 3). An elevated pulmonary artery systolic pressure (37.21 mmHg; normal = 11-20 mm Hg) was detected on echocardiography.
case_images: Skin manifestations on the chest.. Skin hyperpigmentation and hypopigmentation on her chest, known as salt-and-pepper rash, and telangiectasia.
case_images: cureus-0016-00000052003-i02.jpg
case_images: PMC10853897_01_cureus-0016-00000052003-i02.jpg
case_images: FIG2
case_images: Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria, complicated by interstitial lung disease, pulmonary arterial hypertension, skin thickening (Figures 1, 2), and esophageal dilation (Figure 3). An elevated pulmonary artery systolic pressure (37.21 mmHg; normal = 11-20 mm Hg) was detected on echocardiography.
case_images: High-resolution computed tomography of the chest: sagittal and axial views.. Esophageal luminal diameters measured in the upper (A), middle (B), and lower (C) thoracic esophagus were 2.5 cm, 2.5 cm, and 3.5 cm, respectively. Bilateral basilar fibrotic changes were noted. The test was done six months before the current hospital admission.
case_images: cureus-0016-00000052003-i03.jpg
case_images: PMC10853897_01_cureus-0016-00000052003-i03.jpg
case_images: FIG3
case_images: Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria, complicated by interstitial lung disease, pulmonary arterial hypertension, skin thickening (Figures 1, 2), and esophageal dilation (Figure 3). An elevated pulmonary artery systolic pressure (37.21 mmHg; normal = 11-20 mm Hg) was detected on echocardiography.
case_images: High-resolution computed tomography of the chest: axial view.. Increased ground-glass opacities and bilateral patchy fibrosis in the middle lobe and more in the right lower lobe. Right middle and lower lobe segmental consolidation, and right moderate pleural infusion. The test was done during the current hospital admission.
case_images: cureus-0016-00000052003-i04.jpg
case_images: PMC10853897_01_cureus-0016-00000052003-i04.jpg
case_images: FIG4
case_images: The chest CT ruled out a pulmonary embolism but detected interstitial lung disease related to systemic sclerosis, consolidation in the right middle lobe, and right pleural effusion (Figure 4).