Barr WG, Robinson JA Systemic sclerosis and digital gangrene without scleroderma. [Case Reports, Journal Article] J Rheumatol 1988; 15(5):875-7.
We report a case of a 67-year-old man with digital gangrene and no other cutaneous evidence of scleroderma. The presence of anticentromere antibody, scleroderma pattern capillary abnormalities, and the histology of the digital artery all supported a diagnosis of systemic sclerosis. Newer diagnostic tools may identify patients who do not fit easily into the current classification of that disease.
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