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[Soft tissue changes in the hands in progressive scleroderma (excluding calcifications)].

E Fischer

    Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
    |February 1, 1987
    PubMed
    Summary
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    Systemic progressive sclerosis leads to significant soft tissue changes in the hand, including skin thickening and fibrous tissue augmentation. These changes are detectable using low kV radiography, preceding digital tip atrophy.

    Area of Science:

    • Rheumatology
    • Radiology
    • Dermatology

    Background:

    • Systemic progressive sclerosis is characterized by widespread connective tissue abnormalities.
    • Soft tissue alterations in the hand are common manifestations of this condition.
    • Early detection of these changes is crucial for patient management.

    Purpose of the Study:

    • To describe the spectrum of soft tissue changes in the hand associated with systemic progressive sclerosis.
    • To evaluate the utility of low kV radiography in visualizing these changes.
    • To correlate radiographic findings with the progression of the disease.

    Main Methods:

    • A retrospective analysis of hand radiographs from patients with systemic progressive sclerosis.
    • Utilized a three-view low kV radiography technique.

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  • Qualitative assessment of skin thickness, subcutaneous tissue, joint capsules, and tendons.

    • Main Results:

    • Observed consistent skin thickening and increased fibrous structures in the subcutis.
    • Synovitic and tendinitic enlargements of joint capsules and tendons were frequently noted.
    • These soft tissue changes were consistently visualized with low kV radiography, often preceding digital atrophy.

    Conclusions:

    • Low kV radiography is effective in demonstrating characteristic soft tissue changes in the hands of patients with systemic progressive sclerosis.
    • Radiographic findings provide insights into the early stages of the disease process in the hand.
    • The described radiographic features can aid in the diagnosis and monitoring of systemic progressive sclerosis.