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Unlabelled: A 43-year-old male with a history of intravenous drug use and alcohol consumption presented to the emergency department with three-month history of failure to thrive. The patient exhibited a constellation of constitutional symptoms including cough, weight loss, fatigue, decreased appetite, nausea and vomiting. The skin examination revealed multiple subcutaneous hyperpigmented, indurated plaques and nodules on the trunk and arms.

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Nodular scleroderma: Characterization of a distinct clinical phenotype.

Am J Med Sci

September 2024

Division of Rheumatology, Department of Medicine, Thomas Jefferson University, 211 S 9th St Suite 210, Philadelphia, PA 19107, United States; Jefferson Institute of Molecular Medicine and Scleroderma Center, Thomas Jefferson University, Philadelphia, PA, United States. Electronic address:

Article Synopsis
  • Nodular scleroderma is a rare form of systemic sclerosis marked by hard, fleshy nodules mainly on arms, legs, and trunk, and is often confused with keloid variants, though distinctions have been made recently.
  • It typically appears alongside other systemic sclerosis symptoms, especially in individuals with the diffuse systemic sclerosis phenotype, and presents early during skin changes.
  • Patients usually have specific antinuclear antibodies but show a low incidence of pulmonary hypertension, with standard treatments not effectively reducing the nodules.
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The use of artificial intelligence (AI) in high-resolution computed tomography (HRCT) for diagnosing systemic sclerosis-associated interstitial lung disease (SSc-ILD) is relatively limited. This study aimed to analyse lung HRCT images of patients with systemic sclerosis with interstitial lung disease (SSc-ILD) using artificial intelligence (AI), conduct correlation analysis with clinical manifestations and prognosis, and explore the features and prognosis of SSc-ILD. Overall, 72 lung HRCT images and clinical data of 58 patients with SSC-ILD were collected.

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