Skin Manifestations in Rheumatic Disease by Marco Matucci-Cerinic Daniel Furst & David Fiorentino

Author:Marco Matucci-Cerinic, Daniel Furst & David Fiorentino
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

Fig. 24.3Skin sclerosis of hands

Fig. 24.4Skin sclerosis (and hyperpigmentation) of trunk

Fig. 24.5The expressionless face of a patient with SSc

Fig. 24.6Diffuse hyperpigmentation-hypopigmentation of the trunk and lower limbs

Fig. 24.7Salt and pepper pattern

Fig. 24.8Furrowing of the mouth

Intradermal and subcutaneous calcinosis (Fig. 24.9) develops mainly, but not exclusively, in those with limited disease. Calcinosis occurs more frequently at the fingerpads and periarticular areas but can affect other districts. It consists of hydroxyapatite deposits which range from small to large lesions and can complicate with crystal-induced inflammation and/or skin ulceration with subsequent extrusion of white grains or toothpaste-like material.

Fig. 24.9Extensive subcutaneous calcinosis

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