case_images: PMC5326079_01
case_images: PMC5326079_02
case_images: Clinical signs of scleroderma on the hands showing the flexion contracture associated with sclerodactyly and digital ulcers
case_images: PAMJ-25-164-g001.jpg
case_images: PMC5326079_02_PAMJ-25-164-g001.jpg
case_images: f0001
case_images: Physical examination of the patient revealed that SSc affected mainly her hands with a fingers movementlimitation, associated with sclerodactyly complicated by digital ulcers, moderate lung fibrosis with a flexion contracture and a claw-like deformity (Figure 1).
case_images: Restricted mouth opening and trajectory deviation to the right side
case_images: PAMJ-25-164-g002.jpg
case_images: PMC5326079_02_PAMJ-25-164-g002.jpg
case_images: f0002
case_images: The mouth opening was limited to 23 mm and the mandible deviated to the right side (Figure 2).
case_images: Magnetic resonance imaging (MRI) sagittal slices: A) MRI in closed-mouth position showing mandibular condylar process resorption, joint space decreased anddegenerative alterations of the disk; B) MRI in open-mouth position showing hypomobility of mandibular condylar
case_images: PAMJ-25-164-g003.jpg
case_images: PMC5326079_02_PAMJ-25-164-g003.jpg
case_images: f0003
case_images: TMJ, bilateral mandibular condylar process resorption, and disk deformations with heterogeneous appearance (Figure 3 and Figure 4).
case_images: Magnetic resonance imaging (MRI) coronal slices showing bilateral subchondral geodes and thinned cortical of mandibular condylar process
case_images: PAMJ-25-164-g004.jpg
case_images: PMC5326079_02_PAMJ-25-164-g004.jpg
case_images: f0004
case_images: TMJ, bilateral mandibular condylar process resorption, and disk deformations with heterogeneous appearance (Figure 3 and Figure 4).