case_images: PMC5317138_01
case_images: Diffuse skin thickening and sclerosis of bilateral hands that cross the metacarpophalangeal joint.
case_images: CRII2017-4249157.001.jpg
case_images: PMC5317138_01_CRII2017-4249157.001.jpg
case_images: fig1
case_images: On repeat examination, she demonstrated diffuse thickening/sclerosis of bilateral hands that crossed metacarpophalangeal joints extending up to bilateral proximal upper extremities (Figure 1).