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Erosive Arthropathy in systemic sclerosis

Posted Sep 11 2009 4:58pm

Systemic sclerosis (SSc) is a connective tissue disease characterized by vascular involvement and fibrotic changes in the skin and internal organs. Joint symptoms have been noted in 12 to 66% of patients at the time of diagnosis and in 24 to 97% of patients at some time during the course of their illness.

Many radiological changes in the joints of SSc patients have been identified but erosive arthropathy is considered uncommon. The aim of this study was to assess radiological features of SSc patients with polyarthritis.




X-ray of hands showing. - Erosion of the fourth and the fifth proximal inter phalangeal joint on the left hand. - Terminal phalangeal tuft resorption (arrow).




X-ray of hands showing a joint space narrowing in the proximal inter phalangeal joint similar to erosive osteoarthritis.

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