Early Fingertip Changes in Scleroderma

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Abstract
Roentgenographs of the hands of 52 patients with scleroderma were compared with those of 43 patients with other collagen diseases and 22 patients with primary Raynaud's disease. Abnormal roentgenographic findings were noted in 33 (63%) of patients with scleroderma as compared to 5% (2) of patients with other collagen disease and 41% (9) of patients with primary Raynaud's disease. In scleroderma roentgenographic changes are commonly seen early in the course of the disease. Soft tissue atrophy of the fingertips is usually associated with neurovascular manifestations (Raynaud's phenomenon). Calcifications of the pulp of the fingertip and bone erosion are commonly seen in scleroderma and are not necessarily associated with the presence or absence of Raynaud's phenomenon.

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