SYSTEMIC SCLEROSIS-SKIN

SUMMARY

1. Skin changes follow a progression of mucinous edema, then induration, and finally fibrosis and atrophy. Limited vs diffuse SSC.

ALL SSC TYPES
2. Raynaud's eventually occurs & severe vasoconstriction can be associated with digital tip ulcerations.

3. Sclerodactyly is the term used to describe localized scleroderma of the fingers or toes.

4. Abnormal nail-fold capillary loops identified on nail-fold capillaroscopy.

LIMITED SSC TYPE
5. Telangiectasias.

CREST SYNDROME
6. Tightening of the skin over the anterior chest.

Reference(s)

Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].