Nail Fold Dermatoscopic Findings in Scleroderma Patients.

A 28-year-old woman with previously excellent health presented with pain, swelling, and stiffness on the face and hands, which had persisted for over 18 months. She had initially experienced intermittent pain in both knees. Skin hardening spread to both hands until the fingers could no longer be straightened. There were intermittent pain and skin hardening on the cheeks extending to the neck. These were accompanied by breathing difficulty, especially during high-intensity activity.