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[Hypercalcinosis of the hands in scleroderma. 2 case reports]
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1994
Summary
Scleroderma-associated hypercalcinosis, a rare soft-tissue calcification, can affect both hands symmetrically. Surgical intervention may be required for complications like superinfection and ulceration.
Area of Science:
- Rheumatology
- Dermatology
- Orthopedics
Background:
- Scleroderma is a chronic autoimmune disease characterized by hardening and tightening of the skin and connective tissues.
- Soft-tissue calcification is a known complication in some connective tissue diseases.
- Hypercalcinosis, specifically in the hands, is a rare manifestation associated with scleroderma.
Observation:
- Two cases of bilateral, symmetric soft-tissue hypercalcinosis of the hands in patients with scleroderma are presented.
- The calcifications affected the soft-tissue layers of both hands.
- Complications included superinfection and ulceration (exulceration) of the affected areas.
Findings:
- The study describes the diagnosis and therapeutic management of these cases.
- Surgical treatment was necessitated by the complications of superinfection and ulceration.
- The progress of the patients following treatment is detailed.
Implications:
- This report highlights a rare but potentially serious complication of scleroderma affecting the hands.
- Early recognition and appropriate management, including surgical intervention when necessary, are crucial for favorable outcomes.
- Understanding this association aids in comprehensive patient care for scleroderma patients.