Faculty Of Medicine

Blog For Young Doctors And Medical Students.

Short Medical Case Study "21"

A 45 years old female came to the ER suffering from arthralgia , skin induration involving hands with ulcers on finger tips and difficulty of swallowing solid foods later she has developed dry cough and shortness of breath.

She has history of Reynaud’s phenomenon for 10 years.

Examination revealed tight skin over hands with tapering fingers and diffuse bilateral crackles heard on the chest.

Inv: Hb: 9.5 m/dl
ESR: 42 mm/hr
+Ve ANA at dilution o 1-160

What is your provisional diagnosis for this case?