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Woman Heads to Doctor with Swollen Hands, Hypopigmented Patches - Let's Diagnose

april29quiz.jpgA 43-year-old woman went to her primary care doctor after noticing that the skin on her hands had become taut and shiny and looked swollen. She complained of joint stiffness in both hands. Additionally, she had noticed some hypopigmented patches on her back, giving her skin a salt-and-pepper appearance. Other than fatigue and some muscle weakness, she hadn’t noticed any other general symptoms.

Could it be rheumatoid arthritis? Scleroderma? Polymyalgia rheumatica? Morphea?

Check out the differential we created in VisualDx for this case.

The correct answer is...

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