Sclerodactyly

Skin thickening and hardening,giving the skin a shiny appearance and leading to curling of the fingers with loss of mobility.

 

Patient 1

This is a middle-aged man with systemic sclerosis. His hands show skin thickening and hardening, giving the skin a shiny appearance and leading to curling of the fingers with loss of mobility. There is also evidence of digital skin pitting and poorly healing ulcerations.

Image courtesy of “Frameworks for Internal Medicine”

Patient 2:

This patient has

Patient 3

This is an older woman with systemic sclerosis complicated by severe pulmonary hypertension. (findings include sclerodactyly, telangiectasias, calcium deposit, Kussmaul’s sign, and loud P2.)

Patient 4

This is a 55-year-old female with scleroderma complicated by sclerodactyly. Note the inability to fully press the hands together to make the universal sign of prayer (prayer’s sign).