title: Stiff hands and feet, facial deformities.
abstract: The appearance of the skin on this woman's face, hands, and feet helped us to recognize an advanced case of an autoimmune disease.
authors.affiliation: International Medical University, Clinical School Seremban, Malaysia. Email:chandramani@imu.edu.my.
authors.forename: Chandramani
authors.initials: C
authors.lastname: Thuraisingham
authors.affiliation: International Medical University, Clinical School Seremban, Malaysia.
authors.forename: Davendralingam
authors.initials: D
authors.lastname: Sinniah
mesh_terms: D003131:Combined Modality Therapy; D004264:DNA Topoisomerases, Type I; D003937:Diagnosis, Differential; D019066:Facies; D005260:Female; D005531:Foot Deformities, Acquired / Q000209:etiology*; D006227:Hand Deformities, Acquired / Q000209:etiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008168:Lung / Q000000981:diagnostic imaging / Q000503:physiopathology; D008875:Middle Aged; D009687:Nuclear Proteins / Q000032:analysis; D011701:PUVA Therapy / Q000379:methods; D011788:Quality of Life; D011859:Radiography; D012129:Respiratory Function Tests / Q000379:methods; D012595:Scleroderma, Systemic / Q000150:complications / Q000175:diagnosis / Q000276:immunology / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D012698:Serologic Tests / Q000379:methods; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D009687:Nuclear Proteins; C048100:Scl 70 antigen, human; D004264:DNA Topoisomerases, Type I