The value of ultrasound in the diagnosis of limited scleroderma – a case report
Systemic sclerosis, popularly referred to as scleroderma, is a chronic connective tissue disease with present autoantibodies against platelet-derived growth factor receptor. These antibodies activate directly fi broblasts causing the dermis and internal organs’ fi brosis and vascular damage. Addi...
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| Format: | Article |
| Language: | English |
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Sciendo
2015-09-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-15-no-62/the-value-of-ultrasound-in-the-diagnosis-of-limited-scleroderma-a-case-report?aid=378 |
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| author | Grzegorz Pracoń Mateusz Płaza Marta Walentowska-Janowicz wona Sudoł-Szopińska |
| author_facet | Grzegorz Pracoń Mateusz Płaza Marta Walentowska-Janowicz wona Sudoł-Szopińska |
| author_sort | Grzegorz Pracoń |
| collection | DOAJ |
| description | Systemic sclerosis, popularly referred to as scleroderma, is a chronic connective tissue
disease with present autoantibodies against platelet-derived growth factor receptor.
These antibodies activate directly fi broblasts causing the dermis and internal organs’
fi brosis and vascular damage. Additionally, calcifi c collections, including hydroxyapatite
crystals, may develop in subcutaneous tissue and juxta-articular soft tissue. Herein, we
report a case of a 72-year-old woman, referred by a rheumatologist for plain radiography
and ultrasound examination of hands due to pain and swelling of the fourth fi nger of the
left hand. Dermal induration affecting hands, especially fourth fi nger on the left side and
the Raynaud phenomenon were observed on physical examination. Furthermore, the
patient had noticed periodic discharge with a toothpaste consistency from a tiny fi stula
localised in the vicinity of the fourth fi nger alterations. The paper emphasises a possible
application of the twinkling artefact and MicroPure option on ultrasound examination
in differential diagnosis of soft tissue calcifi cations. Making the correct diagnosis can
attribute to precise planning of surgical treatment. |
| first_indexed | 2024-12-10T20:33:40Z |
| format | Article |
| id | doaj.art-8e6a972f3864490a8ed6c4ee6726d42b |
| institution | Directory Open Access Journal |
| issn | 2084-8404 2451-070X |
| language | English |
| last_indexed | 2024-12-10T20:33:40Z |
| publishDate | 2015-09-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-8e6a972f3864490a8ed6c4ee6726d42b2022-12-22T01:34:36ZengSciendoJournal of Ultrasonography2084-84042451-070X2015-09-01156232633110.15557/JoU.2015.0029The value of ultrasound in the diagnosis of limited scleroderma – a case reportGrzegorz Pracoń0Mateusz Płaza1Marta Walentowska-Janowicz2wona Sudoł-Szopińska3Department of Radiology, Institute of Rheumatology, Warsaw, PolandDepartment of Radiology, Institute of Rheumatology, Warsaw, PolandDepartment of Radiology, Institute of Rheumatology, Warsaw, PolandDepartment of Radiology, Institute of Rheumatology, Warsaw, Poland; Department of Diagnostic Imaging, Second Faculty, Warsaw Medical University, PolandSystemic sclerosis, popularly referred to as scleroderma, is a chronic connective tissue disease with present autoantibodies against platelet-derived growth factor receptor. These antibodies activate directly fi broblasts causing the dermis and internal organs’ fi brosis and vascular damage. Additionally, calcifi c collections, including hydroxyapatite crystals, may develop in subcutaneous tissue and juxta-articular soft tissue. Herein, we report a case of a 72-year-old woman, referred by a rheumatologist for plain radiography and ultrasound examination of hands due to pain and swelling of the fourth fi nger of the left hand. Dermal induration affecting hands, especially fourth fi nger on the left side and the Raynaud phenomenon were observed on physical examination. Furthermore, the patient had noticed periodic discharge with a toothpaste consistency from a tiny fi stula localised in the vicinity of the fourth fi nger alterations. The paper emphasises a possible application of the twinkling artefact and MicroPure option on ultrasound examination in differential diagnosis of soft tissue calcifi cations. Making the correct diagnosis can attribute to precise planning of surgical treatment.http://jultrason.pl/index.php/issues/volume-15-no-62/the-value-of-ultrasound-in-the-diagnosis-of-limited-scleroderma-a-case-report?aid=378systemic sclerosislimited sclerodermacalcinosiscolour twinkling artifactultrasonography |
| spellingShingle | Grzegorz Pracoń Mateusz Płaza Marta Walentowska-Janowicz wona Sudoł-Szopińska The value of ultrasound in the diagnosis of limited scleroderma – a case report Journal of Ultrasonography systemic sclerosis limited scleroderma calcinosis colour twinkling artifact ultrasonography |
| title | The value of ultrasound in the diagnosis of limited scleroderma – a case report |
| title_full | The value of ultrasound in the diagnosis of limited scleroderma – a case report |
| title_fullStr | The value of ultrasound in the diagnosis of limited scleroderma – a case report |
| title_full_unstemmed | The value of ultrasound in the diagnosis of limited scleroderma – a case report |
| title_short | The value of ultrasound in the diagnosis of limited scleroderma – a case report |
| title_sort | value of ultrasound in the diagnosis of limited scleroderma a case report |
| topic | systemic sclerosis limited scleroderma calcinosis colour twinkling artifact ultrasonography |
| url | http://jultrason.pl/index.php/issues/volume-15-no-62/the-value-of-ultrasound-in-the-diagnosis-of-limited-scleroderma-a-case-report?aid=378 |
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