Musculoskeletal Key

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…

Fig. 43.1 Sharply demarcated erythematous patch on the calf (Courtesy of Orhan Aral, Istanbul University, Division of Rheumatology) Fig. 43.2 Bullae on an erythematous base on the forearm (Courtesy of…

Fig. 47.1 Digital clubbing: the bulbous deformity of the finger on the right is compared to the normal finger shape on the left Fig. 47.2 (a) Early hypertrophic osteoarthropathy. Anterior-posterior…

Fig. 35.1 Necrotic purpura on the legs Papulonecrotic lesions are ulcerated papules that are located on the extensor surfaces of the limbs, close to elbows, knees, hands, and feet (Fig….

Fig. 13.1 Typical maculopapular rash of systemic-onset JIA Differential diagnosis of systemic JIA rash is wide. It is usually, however, rather nonspecific, except that it is seen within an overall…