Case Report

Uncommon skeletal findings in systemic sclerosis (scleroderma)

Betsie van der Walt, Irma van de Werke, Zarina Lockhat
South African Journal of Radiology | Vol 6, No 1 | a1458 | DOI: https://doi.org/10.4102/sajr.v6i1.1458 | © 2018 Betsie van der Walt, Irma van de Werke, Zarina Loekhat | This work is licensed under CC Attribution 4.0
Submitted: 13 July 2018 | Published: 31 March 2002

About the author(s)

Betsie van der Walt, Department of Radiology, Kalafong Hospital, South Africa
Irma van de Werke, Department of Radiology, Kalafong Hospital, South Africa
Zarina Lockhat, Department of Radiology, Kalafong Hospital, South Africa

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Abstract

Scleroderma or progressive systemic sclerosis is a diffuse disease characterised by excessive deposition of collagen and small-vessel arteritis. Systemic sclerosis is divided into two groups.
1. Diffuse scleroderma, where interstitial pulmonary fibrosis is common,  and
2. The CREST syndrome, which is characterised more commonly by vasculitis with pulmonary hypertension.
The CREST syndrome consists of calcinosis of the skin, Raynaud's phenomenon, sclerodactyly, telangiectasis and oesophageal dysmotility.
This case describes a 48-year-old woman with known scleroderma demonstrating some of the less common radiological features.

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