Excerpt
Calcinosis is common in systemic sclerosis (SSc) and can cause disability; hand calcinosis was found to affect 23% of patients with SSc of the largest series1.
A 39-year-old man with diffuse cutaneous SSc, present for 8 years, was referred with a history of chronic hand calcinosis that had failed to respond to all therapies and was seriously disabling. To assess distribution and tissue involvement of calcium deposits, multidetector computed tomography (CT) was performed including 2D coronal images of the wrist and hand (Figure 1A) and 3D volume-rendering images (Figure 1B: coronal view, and C: palmar view). These images showed extensive...