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进行性系统性硬化症多见有指(趾)骨远端骨质溶解和关节受累。但亦见有桡骨、尺骨、锁骨远端关节周骨质明显吸收和颈椎、下颌骨骨质溶解者。本文报道一例进行性系统性硬化症伴有无症状肋骨骨质溶解并导致胸廓畸形。患者,女性,45岁。11年前有雷诺氏现象。数年来,患者有面和臂部皮肤进行性硬化、吞咽困难、肩肘活动受限以及手指变短。皮肤活检证实为进行性系统性硬化症。体检:皮肤弥漫性硬化,手掌和面部有毛细血
Progressive systemic sclerosis more common refers to the (distal) bone osteolysis and joint involvement. But also see the radius, ulna, distal clavicular osteophytes obvious absorption and cervical spine, mandibular osteolysis. This article reports a case of progressive systemic sclerosis with asymptomatic rib osteolysis and causes thoracic deformity. Patient, female, 45 years old. Raynaud’s phenomenon 11 years ago. For years, patients had progressive sclerosis of the face and arm, swallowing difficulties, restricted shoulder and elbow mobility, and shortening of the fingers. Skin biopsy confirmed progressive systemic sclerosis. Physical examination: Diffuse sclerosis of the skin, capillaries on the palms and face