Scleroderma systemic: edematous swelling of the hands and fingers. when stretching the fingers, white discoloration of the tense skin areas (see right index finger) occurs. Raynaud's syndrome known for several years. increased sensitivity to cold, rheumatoid joint complaints, ANA:1:620; SCL70AK+.
Fasciitis, necrotizing. foudroyant running, primarily underestimated, highly painful clinical picture with high fever and massive swelling of the left hand. Patient with several years of immunosuppressive therapy.
Acrodermatitis chronica atrophicans: Livid erythema on the back of the right hand and nail dystrophies in a 78-year-old female patient with confirmed neuroborreliosis 6 years ago. Cushion-like (pernion-like) plaques on the fingers. Persistent pain in the carpal and interphalangeal joints.
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