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Skin tightening in the right hand (A), skin tightening in both thighs (B), PET-CT scan demonstrating metastatic disease (C). Photographs taken in Rheumatology Department, Musgrave Park Hospital in Belfast - not published before.
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The images presented in Figure 1 concern a 51-year-old woman with a 6-week history of pain and stiffness in the hands and legs which was associated with skin tightening.
Digital ischemia and necrosis (A), CT scan demonstrating renal mass (B). Photographs taken in Rheumatology Department, Musgrave Park Hospital in Belfast - not published before.
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The case of a 71-year-old patient with rapidly progressing digital ischemia presented in Figure 2 A can also be given as an example of paraneoplastic syndrome. The presented patient had a confirmed renal mass (CT scan Fig. 2 B) and final diagnosis was of the renal cell carcinoma.