The value of ultrasound in the diagnosis of limited scleroderma – a case report

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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

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ISSN: 2084-8404
eISSN: 2451-070X

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VOLUME 15 , ISSUE 62 (September 2015) > List of articles

The value of ultrasound in the diagnosis of limited scleroderma – a case report

Grzegorz Pracoń * / Mateusz Płaza / Marta Walentowska-Janowicz / Iwona Sudoł-Szopińska

Keywords : systemic sclerosis,  limited scleroderma,  calcinosis,  colour twinkling artifact,  ultrasonography

Citation Information : Journal of Ultrasonography. Volume 15, Issue 62, Pages 326-331, DOI: https://doi.org/10.15557/JoU.2015.0029

License : (CC BY-NC-ND 3.0)

Received Date : 01-December-2014 / Accepted: 16-January-2015 / Published Online: 13-September-2016

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ABSTRACT

Systemic sclerosis, popularly referred to as scleroderma, is a chronic connective tissue disease with present autoantibodies against platelet-derived growth factor receptor. These antibodies activate directly fi broblasts causing the dermis and internal organs’ fi brosis and vascular damage. Additionally, calcifi c collections, including hydroxyapatite crystals, may develop in subcutaneous tissue and juxta-articular soft tissue. Herein, we report a case of a 72-year-old woman, referred by a rheumatologist for plain radiography and ultrasound examination of hands due to pain and swelling of the fourth fi nger of the left hand. Dermal induration affecting hands, especially fourth fi nger on the left side and the Raynaud phenomenon were observed on physical examination. Furthermore, the patient had noticed periodic discharge with a toothpaste consistency from a tiny fi stula localised in the vicinity of the fourth fi nger alterations. The paper emphasises a possible application of the twinkling artefact and MicroPure option on ultrasound examination in differential diagnosis of soft tissue calcifi cations. Making the correct diagnosis can attribute to precise planning of surgical treatment.

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REFERENCES

1. Antczak A, Myśliwiec M, Pruszczyk P: Wielka interna, Tom 9. Reumatologia, Medical Tribune Polska, Warszawa 2011.
2. van den Hoogen F, Khanna D, Fransen J, Johnson SR, Baron M, Tyndall A et al.: 2013 classifi cation criteria for systemic sclerosis: an American college of rheumatology/European league against rheumatism collaborative initiative. Ann Rheum Dis 2013; 72: 1747–1755.
3. Sahar MM, Lamia A: Characterization and guided-procedures of breast suspicious microcalcifi cations: can MicroPure ultrasound do it? Egyptian Society of Radiology and Nuclear Medicine 2012, 43: 499–505.
4. Resnick D, Kransdorf MJ: Bone and Joint Imaging, 3rd edition, Saunders Elsevier, Philadelphia 2005.
5. Weissman BN: Imaging of Arthritis and Metabolic Bone Disease, Saunders Elsevier, Philadelphia 2009.
6. Yin L, Zhu J, Xue Q, Wang N, Hu Z, Huang Y et al.: MicroPure imaging for the evaluation of microcalcifi cations in gouty arthritis involving the fi rst metatarsophalangeal joint: a preliminary study. PLoS One 2014; 9: e95743.
7. Placzyńska M, Wachnicka-Bąk A, Jung A: Zastosowanie artefaktu świetlika w ultrasonografi cznej diagnostyce kamicy moczowej. Pediatr Med Rodz 2013, 9: 46–49.
8. Lu W, Sapozhnikov OA, Bailey MR, Kaczkowski PJ, Crum LA: Evidence for trapped surface bubbles as the cause for the twinkling artifact in ultrasound imaging. Ultrasound Med Biol 2013, 39: 1026–1038.
9. Su B, Tang Y, Tang Y, Qiu L: Hydroxyapatite crystal deposition forming para-articular multiple large masses: a case report and literature review. Rheumatol Int. 2013; 33: 3099–3102.
10. Smereczyński A, Lubiński J, Gałdyńska M, Bojko S, Deręgowska A: Kolorowy artefakt migotania – mało znana sprawa. Ultrasonografi a 2006; 27: 53–58.

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