Abstract
Systemic sclerosis (scleroderma) is a widespread disease affecting the skin, gastrointestinal tract, heart, lungs and hands. Most patients with systemic sclerosis of the hand present with Raynaud’s phenomenon (see below) and may have no progression beyond that. In more advanced cases, the ischemic changes may include fingertip pain, digital tip ischemia, ulceration and gangrene. Sclerodactyly, loss of fingertip pulp and joint contractures (especially those affecting the interphalangeal joints) are another form of presentation. There is often overlap between the two forms of presentation and both may be associated with painful cutaneous calcinosis.
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© 2009 Springer-Verlag Berlin Heidelberg
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Goddard, N. (2009). Digital Sympathectomy for Scleroderma. In: Lumley, J., Hoballah, J. (eds) Vascular Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68816-7_11
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DOI: https://doi.org/10.1007/978-3-540-68816-7_11
Publisher Name: Springer, Berlin, Heidelberg
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