case_images: PMC10891365_01
case_images: Nailfold Capillaroscopy Showing Dilated Vessels
case_images: cureus-0016-00000052886-i01.jpg
case_images: PMC10891365_01_cureus-0016-00000052886-i01.jpg
case_images: FIG1
case_images: Nailfold capillaroscopy (Figure 1) was done which showed giant capillaries with micro haemorrhage and areas of capillary loss which was suggestive of an active scleroderma pattern for which the patient has been prescribed tablet Omnacortil 30mg OD for 15 days followed by tablet Omacortil 25mg OD for 15 days, methotrexate 15mg, and tablet folic acid 5mg.
case_images: HRCT Showing Patchy Consolidation With Pleural Thickening (Black Arrow). HRCT: High-resolution computed tomography
case_images: cureus-0016-00000052886-i02.jpg
case_images: PMC10891365_01_cureus-0016-00000052886-i02.jpg
case_images: FIG2
case_images: High-resolution computed tomography (HRCT) of the thorax (Figure 2) indicated patchy consolidation with pleural thickening on a lateral segment of the right middle lobe, anterior segment of the left upper lobe, and basal anteromedial segment of left lower lobe; pleural thickening noted in lateral segment of the right middle lobe, basal segments of bilateral lower lobes and superior singular segment of left upper lobe, and multiple centrilobular nodules in left lower lobe.