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Hands' photograph of the 54-year-old woman shows thickening of the skin, flexion contractures of the interphalangeal joints and oedema.
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A 54-year-old woman was admitted to our hospital on April 2018 with a seven-month history of swelling and skin thickening of both hands and forearms (Figure 1), and arthralgia.
Nailfold capillaroscopy (200 x magnification): Capillary abnormalities revealing a "scleroderma pattern": (A and B) architectural derangement with bushing and enlarged capillaries, (C) microaneurysms and (D) loss of capillaries.
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Nailfold videocapillaroscopy revealed a typical scleroderma pattern with prominent disorganization of the microvascular structure, neoangiogenesis and well detectable areas without capillaries (Figure 2).