PMC5937516_01
Severe left ring finger contracture with palmar fibromatosis and keloid scar formation.
CRIRH2018-3893846.001.jpg
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fig1
Hand examination showed severe left ring finger proximal interphalangeal (PIP) joint contracture of 80 , with palmar fibromatosis and keloid scar formation (Figures 1 and 2).
Severe left ring finger contracture with palmar fibromatosis and keloid scar formation.
CRIRH2018-3893846.002.jpg
PMC5937516_01_CRIRH2018-3893846.002.jpg
fig2
Hand examination showed severe left ring finger proximal interphalangeal (PIP) joint contracture of 80 , with palmar fibromatosis and keloid scar formation (Figures 1 and 2).
Keloids and hypertrophic scars on the chest and arms.
CRIRH2018-3893846.003.jpg
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fig3
Multiple large areas of hypertrophic scarring and keloid formation involving the central chest (Figure 3), arms, and legs as well as some discrete nodules on the upper back were present.
Axial T1 fat-saturated magnetic resonance imaging (MRI) of the foot obtained with gadolinium contrast administration demonstrated marginal erosions at the great toe interphalangeal joint, associated synovitis, and bone marrow enhancement (black arrows). Erosive changes involving the fifth metatarsophalangeal joint were present with bone marrow enhancement in the proximal phalanx (solid white arrow). Enhancing inflammatory changes in the second and fourth toe plantar soft tissues were present (dashed white arrows).
CRIRH2018-3893846.004.jpg
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fig4
Axial (Figure 4) and coronal (Figure 5) magnetic resonance imaging (MRI) of the feet obtained with gadolinium contrast administration demonstrated marginal erosions, synovitis, and bone marrow enhancement.
Coronal T1 fat-saturated magnetic resonance imaging (MRI) of the foot obtained with gadolinium contrast administration demonstrated marginal erosions at the great toe interphalangeal joint, associated synovitis, and bone marrow enhancement (black arrows). Enhancing inflammatory changes in the second and fourth toe plantar soft tissues were present (dashed white arrows). One of the several keloids is seen along the medial margin of the fourth toe at the level of the nail with moderate heterogeneous enhancement (asterisk).
CRIRH2018-3893846.005.jpg
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fig5
Axial (Figure 4) and coronal (Figure 5) magnetic resonance imaging (MRI) of the feet obtained with gadolinium contrast administration demonstrated marginal erosions, synovitis, and bone marrow enhancement.