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CREST syndrome
  1. Ashok Kumar1,
  2. Ashish Sharma2,
  3. Anunay Agarwal3
  1. 1 Rheumatology, Fortis FLT LT Rajan Dhall Hospital, New Delhi, India
  2. 2 Rheumatology, Fortis Hospital, Noida, India
  3. 3 Internal Medicine, Aakash Hospital, New Delhi, India
  1. Correspondence to Ashish Sharma, Department of Rheumatology, Fortis Hospital, Sector-62, Noida, Uttar Pradesh, India; ash.blueney{at}

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A 35-year-old woman presented with difficulty in breathing and a hard skin lesion on the left first finger for 1 year. She had Raynaud’s phenomenon and significant gastro-oesophageal reflux disturbing her sleep. Examination was remarkable for a hard lump over the tip of the left first finger, which was inseparable from the skin (figure 1A). Erythematous macules, which blanched on applying pressure, were present over the palmar aspect of fingers, suggestive of telangiectasia (figure 1A). Sclerodactyly was present along with …

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  • Contributors AS planned the study, collected data, searched the literature and submitted the manuscript. AK designed and critically supervised the manuscript. AA collected data and searched the literature. All authors wrote the manuscript together.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Consent obtained directly from patient(s).

  • Provenance and peer review Not commissioned; internally peer reviewed.