When Fingertips Harden and Swell

A 77-year-old with Systemic Sclerosis presents with painful fingertip swelling. Explore the diagnosis based on hand radiographs showing calcifications.

Calcinosis


A 77-year-old woman presented to a clinic with a 2-year history of slowly progressive, painful swelling of her fingertips. Physical examination of the hands showed thickening of the skin on her right hand as well as soft-tissue swelling of the tips of the fingers of both hands. A plain radiograph of the hands is shown. What is the most likely diagnosis?

What is the most likely diagnosis?

Tophaceous gout
Calcinosis
Metastatic chondrosarcoma
Vitamin D toxicity
Myositis ossificans

Calcinosis, CREST Syndrome, Radiology, Scleroderma, Systemic Sclerosis

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