Linear Scleroderma

Abstract

A 57-year-old African-American woman presented with a three-year-history of arthritis and changes in the quality of her skin. Over the past year, the skin on the medial aspect of the foot had ulcerated, and she was concerned about the large amount of drainage from the wound. She also complained of joint stiffness and pain, muscle cramps, and Raynaud's phenomenon. Given the history of Raynaud's syndrome and the presenting physical findings, the clinical diagnosis of linear scleroderma was felt to be most appropriate. In this article, the presentation, significant physical findings, etiology, and treatment plans for the patient are discussed.