Raynaud’s and dysphagia. What about the hands?
A 67-year-old man with known systemic sclerosis underwent routine follow-up radiographs of the hands. His medical history included Raynaud’s phenomenon and dysphagia, while C-reactive protein levels remained normal. Radiographs demonstrated acroosteolysis, characterized by sharply demarcated resorption of the distal phalangeal tufts. This finding represents