Digital necrosis in a woman over eighty.
Chronic vascular disorders of the upper limbs are not frequently encountered in women; in addition, advanced age of onset tends to suggest the presence of common diseases such as arteriosclerosis or microembolization. Nonetheless, diagnosis is not always straightforward and in some cases both-laboratory and instrumental findings can do no more than arouse a diagnostic suspicion. We present a case of acro-localized disorder, which proved difficult to diagnose and which we believe may be attributed to a slowly progressing form of scleroderma of the extremities which, in our case, determined positivity of anticentromere autoantibodies.
Melon
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Istituto di Clinica Medica Generale, Cattedra di Angiologia, Università degli Studi, Trieste.
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D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005385:Fingers / Q000473:pathology*; D006801:Humans; D009336:Necrosis; D012595:Scleroderma, Systemic / Q000150:complications*