Clinical presentation shows joint stiffness and fatigue in a 78-year-old woman, indicating possible dermatological concerns.
A 78-year-old female presents with a 4-week history of progressive breathlessness, joint stiffness, fatigue, and lower limb oedema. On examination there was pitting oedema with associated skin thickening to all four limbs with particularly tender quadriceps muscles.
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Dickson et al. (2025) studied this question.
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