Sclerodactyly
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.
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.)