- Haiye Ren, graduate medical student,
- Hong-Lei Liu, associate chief physician
- Department of Rheumatology and Immunology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Correspondence to: H-L Liu hong-lei-liu{at}163.com
This woman in her 50s presented with bilateral digital shortening, sclerodactyly, and pallor of the fingertips. She described a 30 year history of progressive finger skin thickening and hardening, and Raynaud’s phenomenon. She had a family history of connective tissue disease, had never smoked, had no respiratory symptoms, and had not previously sought …