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Hand & Wrist Exam


July 7th, 2019
On this page:Complications


  • Signs of Scleroderma

  • General Signs

  • Calcinosis cutis: hard masses beneath the skin, due to calcium deposition
  • Raynaud's phenomenon: areas of white, blue or red change in the hands
  • Sclerodactyly: thickening of the fingers / toes
  • Telangiectasia: visible dilated blood vessels
  • Reduced oral aperture
  • Nailfold abnormalities
  • Tendon friction rubs (severe disease)
  • Signs of Complications

  • Evidence of pulmonary hypertension - prominent a wave, parasternal heave, loud / palpable P2
  • Evidence of interstitial lung disease - fine fibrotic crepitations
  • Evidence of renal crisis - significant hypertension


  • Complications of Scleroderma

  • Pulmonary hypertension
  • Pulmonary fibrosis
  • Scleroderma renal crisis
  • Oesophageal dysmotility
  • Pericarditis
  • Arrythmias
  • Erectile dysfunction
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