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., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
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].