PMC5317138_01
Diffuse skin thickening and sclerosis of bilateral hands that cross the metacarpophalangeal joint.
CRII2017-4249157.001.jpg
PMC5317138_01_CRII2017-4249157.001.jpg
fig1
On repeat examination, she demonstrated diffuse thickening/sclerosis of bilateral hands that crossed metacarpophalangeal joints extending up to bilateral proximal upper extremities (Figure 1).