Ch 43

Sistemik Skleroz (Skleroderma)

Vol 1 · sayfa 702 · §7

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Fig. 43.3 Early, edematous phase of systemic sclerosis. Note the demonstration of pitting edema on two of the digits. Courtesy Jean L. Bolognia, MD.

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Fig. 43.4 Pitted scars of the digital pulp in a patient with systemic sclerosis. Courtesy Kalman Watsky, MD.

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Fig. 43.5 Late-stage disease in a patient with diffuse cutaneous systemic sclerosis. Note the fixed flexion contractures, sclerodactyly, and the digital ulceration overlying the third proximal interphalangeal joint.

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Fig. 43.6 The “salt and pepper” sign. Leukoderma with retention of perifollicular pigmentation in a patient with systemic sclerosis. Courtesy Joyce Rico, MD.

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Fig. 43.7 Mat (squared-off) telangiectasias in systemic sclerosis (SSc). A, B Two patients with limited cutaneous SSc; the face and palms are two of the most common sites for mat telangiectasias. C This patient presented with diffuse hyperpigmentation and interstitial lung disease and the presence of mat telangiectasias pointed to the diagnosis. B, Courtesy Kalman Watsky, MD; C, Courtesy Jean L. Bolognia, MD.

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Fig. 43.7 Mat (squared-off) telangiectasias in systemic sclerosis (SSc). A, B Two patients with limited cutaneous SSc; the face and palms are two of the most common sites for mat telangiectasias. C This patient presented with diffuse hyperpigmentation and interstitial lung disease and the presence of mat telangiectasias pointed to the diagnosis. B, Courtesy Kalman Watsky, MD; C, Courtesy Jean L. Bolognia, MD.

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Fig. 43.8 Calcinosis cutis of the finger in a patient with systemic sclerosis.

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Fig. 43.9 Raynaud phenomenon in a patient with early systemic sclerosis. There is obvious blanching of two fingers as well as a violaceous hue of the forefinger. Courtesy Jeffrey P. Callen, MD.

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Fig. 43.13 Eosinophilic fasciitis – clinical features. A Induration of the arm with a dimpled or “pseudo-cellulite” appearance, also referred to as rippling or puckering. B Firm, irregular induration and nodularity of the medial thigh. The differential diagnosis includes deep morphea. Courtesy Edward Cowen, MD.

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Fig. 43.13 Eosinophilic fasciitis – clinical features. A Induration of the arm with a dimpled or “pseudo-cellulite” appearance, also referred to as rippling or puckering. B Firm, irregular induration and nodularity of the medial thigh. The differential diagnosis includes deep morphea. Courtesy Edward Cowen, MD.

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Fig. 43.13 Eosinophilic fasciitis – clinical features. A Induration of the arm with a dimpled or “pseudo-cellulite” appearance, also referred to as rippling or puckering. B Firm, irregular induration and nodularity of the medial thigh. The differential diagnosis includes deep morphea. Courtesy Edward Cowen, MD.

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Fig. 43.15 Nephrogenic systemic fibrosis (NSF) – clinical features. Orange– brown indurated plaques. Note the “ameboid” outline of one of the plaques on the left foot. Courtesy Edward Cowen, MD.

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