Saturday, 31 May 2008


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1 comment:

  1. the skin is shiny and thickened, there is sclerodactyle producing fixed flexion deformaty. She has microstomia, telengiectasia on the face. In addition she also has atrophic changes on the finger tips due to secondary Raynaud's phenomenon. Her function is severely reduced by fixed flexion deformaty and she has limited (or diffuse) scleroderma secondary to distal (or proximal) skin involvement. I would like to examine her chest for interstitial fibrosis and her cardiovascular system for signs of secondary pulmonary hypertension