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KMID : 0361620100450010088
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Journal of the Korean Orthopaedic Association
2010 Volume.45 No. 1 p.88 ~ p.91
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Acroosteolysis of Scleroderma Associated with a Felon
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Hwang In-Hwan
Yim Moon-Sup
Kim Hyung-Chun
Kim Kwang-Yul
Moon Sang-Ho
Lee Ji-Hoon
Jo Sung-Jun
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Abstract
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The Scleroderma is a chronic inflammatory disease of the connective tissue with involvement of the skin and other organs. It can be a manifestation of various disorders and occasionally acroosteolysis in the phalanges. Acroosteolysis is characterized by bone resorption or destruction in the phalanges, while the base is preserved. The pathogenesis of acroosteolysis in patients with scleroderma is a blood-flow disorder that is mainly associated with an abnormal accumulation of collagen in all tissues, microangiopathy and infections in the phalanges. The phalanges in patients with scleroderma are prone to continuous infections as a felon or skin ulcers due to atrophy of the subcutaneous tissue, dry and sclerotic skin, or a disorder of the immune system. We experienced a patient who had acroosteolysis with scleroderma of the phalanges, and this was associated with a felon. We report on this case along with a brief review of the literature.
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KEYWORD
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scleroderma, acroosteolysis, felon
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