PMC9166376_01
Sclerodactyly and digital contracture in flexion.
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Arthralgias were present at the bilateral distal interphalangeal joints (8 painful joints with the pain score quantified by the patient using the visual analog scale = 10/100), without joint contracture of the small joints in the hands, with discrete phalangeal muscle weakness at this level (score = 1) and with muscle atrophy of the dorsal interosseous muscles, scleroderma facies with slight microstomy (5 cm oral opening), sclerodactyly (Figure 1) and acrocyanosis of the left IInd finger (Figure 2).
Acrocyanosis left IInd finger.
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Arthralgias were present at the bilateral distal interphalangeal joints (8 painful joints with the pain score quantified by the patient using the visual analog scale = 10/100), without joint contracture of the small joints in the hands, with discrete phalangeal muscle weakness at this level (score = 1) and with muscle atrophy of the dorsal interosseous muscles, scleroderma facies with slight microstomy (5 cm oral opening), sclerodactyly (Figure 1) and acrocyanosis of the left IInd finger (Figure 2).
Infected digital ulcer.
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Some ulcers of the IInd and IVth left fingers and Ist right finger showed signs of infection (Figure 3).
Acroosteolysis of the fingers.
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Multiple acroosteolysis of the fingers showed an obvious shortening of the IInf and IIIrd fingers, bilaterally (Figure 4).