title: [An elderly woman with stiffness of the thumb].
abstract: A 81-year-old woman presented with progressive pain, stiffness and swelling of the right thumb. She also complained of dysphagia and Raynaud's phenomenon. Physical examination revealed sclerodactyly and telangiectasia. A plain X-ray showed marked calcifications of the flexor tendon of the right thumb and esophagography demonstrated decreased motility of the lower esophagus. Additionally, anticentromere antibodies were positive. As a result, the patient was diagnosed with calcinosis as a presenting symptom of limited systemic scleroderma.
authors.affiliation: St. Antonius Ziekenhuis, afd. Interne Geneeskunde, Nieuwegein, the Netherlands. franssen.laurens@gmail.com
authors.forename: Laurens E
authors.initials: LE
authors.lastname: Franssen
authors.forename: Marcel J A M
authors.initials: MJ
authors.lastname: Franssen
authors.forename: Maurice  E C
authors.initials: M
authors.lastname: Jeurissen
mesh_terms: D000369:Aged, 80 and over; D001323:Autoantibodies / Q000032:analysis; D002503:Centromere / Q000276:immunology; D005260:Female; D006801:Humans; D011928:Raynaud Disease / Q000175:diagnosis* / Q000276:immunology; D045745:Scleroderma, Limited / Q000175:diagnosis* / Q000276:immunology; D013933:Thumb / Q000473:pathology*
chemical_list: D001323:Autoantibodies