The hands in systemic sclerosis.This connective tissue disease is a systemic disorder characterized by obliterative small vessel vasculitis and a proliferation of connective tissue with fibrosis of multiple organs. Death can occur due to complications of hypertension, such as renal involvement, and cardiac involvement. Esophageal infiltration frequently causes dysphagia. The hands demonstrate the tethering of the skin (sclerodactyly) as well as digital nodules due to calcinosis. This patient suffered from Raynaud's syndrome - prolonged episodes of digital vascular spasm have caused ulceration of the distal phalanx of the fifth digit.
Download this image
PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.
Submit your images
Play a part in the GastroHep.com community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.