A 54-year-old woman presented with a two-year history of a gradual tightening of the skin over her fingers, forearms, and legs. She also described intermittent swelling of the hands and feet. She mentioned that since her early 30s she has experienced pain in her digits in cold weather. However, over the past few months, she noticed shortness of breath on exertion. Examination The skin over her fingers and hands appeared oedematous, waxy, shiny, and indurated. Normal skin elasticity was lost The distal finger appeared tapered and there was a small ulcer present on one of her finger pulps.
Periorbital oedema was observed. Respiratory examination indicated fine respiratory crackles in the bilateral lower zone. What is the most likely diagnosis in this patient? *This case is from Docplexus editorial team for educative purpose only. Source: 100 Cases In Dermatology Stay connected, the answer…
