3rd July 2023

A 54-year-old woman with a history of scleroderma presents with skin changes on her hands

A 54-year-old woman with a history of scleroderma presents with skin changes on her hands. She is concerned that the skin on her hands has changed and tightened recently. She is complaining of pain over her knuckles and fingers primarily. On examination, the skin is tight, and you are unable to pinch or stretch the skin over her hands and fingers.

What is the most likely skin manifestation described?

Select the SINGLE most appropriate option from the list below. Select ONE option only.