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Rheumatology 2001; 40: 594-595
© 2001 British Society for Rheumatology

Letters to the Editor

Systemic sclerosis with pencil-in-cup deformity

S. Ramakrishnan, S. K. Das and K. Mishra

Department of Medicine, K. G. Medical College, Lucknow 226003, India

SIR, We report a 16-yr-old female suffering from systemic sclerosis (SSc) who presented with deforming symmetrical polyarthritis which she had had for the past 1 yr, associated with a history of Raynaud's phenomenon and thickening of the skin, initially involving the hand and then becoming generalized to involve the feet, face and trunk. The patient had scleroderma facies, thickened skin over the face, extremities and trunk, healed fingertip infarcts, resorption of the pulp of the terminal pad of the fingers, . . . [Full Text of this Article]

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