Musculoskeletal Key

Fig. 22.1 En coup de sabre scleroderma in a 10-year-old girl: frontal-parietal linear lesion resembling the stroke of a sword Fig. 22.2 Parry-Romberg syndrome in a 14-year-old patient, leading to…

Fig. 38.1 Palpable purpura in a patient with microscopic polyangiitis. Note the relative sparing of the distal limb Differential Diagnosis MPA has only recently been separated from polyarteritis nodosa on…

Fig. 37.1 Vesicular eruptions of patient with PAN. The eruptions are more frequent in upper and lower extremities than trunk Fig. 37.2 Vesicular eruptions of patient with PAN. The eruptions…

Fig. 36.1 Lower leg and foot purpura with necrotic and superficial ulcerations of a patient with eosinophilic granulomatosis with polyangiitis (Churg–Strauss syndrome) Fig. 36.2 Diffuse erythematous plaque with a palpable…

Fig. 10.1 Puffy fingers in SSc. (a) lcSSc with ACA, which may tend towards sclerodactyly. (b) lcSSc with ACA, associated with skin gangrenous ulcers but not sclerosis. (c) lcSSc with…

Fig. 33.1 (a)“Peau d’orange” feature. The superficial dermis may be wrinkled while the deep dermis and fascias are fibrosed. (b) Indentation along the course of the superficial veins (groove sign)…

Fig. 20.1 Migrant, painful arthritis in a 6-year-old boy with ARF Fig. 20.2 Chest radiograph of an 8-year-old patient with acute carditis and pericardial effusion Fig. 20.3 Typical erythema marginatum…

Fig. 29.1 The most relevant sign was the stone-hard skin induration of buttocks and thighs Differential Diagnosis SSS is a diagnosis of exclusion, with a distinctive clinical presentation without pathognomonic…

Fig. 9.1 Typical erythema nodosum of the lower legs (a) and an atypical macular form (b) However, erythema nodosum may be atypical, being either widespread small, macular mimicking cutaneous vasculitis…

Fig. 26.1 Objective signs of xerosis (lower limbs) Fig. 26.2 Objective signs of xerosis in SS female patients: roughness, fine scaling Table 26.1 Primary SS nonvascular skin lesions and their…