Scleroderma mimics
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The Marathon Arms
Hard forearms, happy fingers, and a sample that has to go deep.
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Unlabelling
A diagnosis made six years ago still has to earn its keep.
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Thick Fingers, Thin Nerves
Paraproteins have skin in the game.
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Blisters Before the Thickening
Porphyrins can imitate fibrosis — in daylight.
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The Oncologist’s Phone Call
A taxane and a checkpoint inhibitor walk into a rheumatology clinic.
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Transplant, Then Tight
Anti-Scl-70 is not a passport to systemic sclerosis.
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The Prayer That Does Not Close
Waxy hands, quiet nailfolds, no Raynaud.
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The Scan Before the Skin
Ask what went into the vein eight weeks ago.
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Papules in a Row
When mucin dresses up as sclerosis and brings a paraprotein to the party.
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The Neck Came First
A frozen upper back is not sclerodactyly's cousin.