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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: J Tissue Viability. 2013 Jun 10;22(4):92–102. doi: 10.1016/j.jtv.2013.04.003

Figure 1. Examples of rheumatoid and systemic sclerosis ulcers.

Figure 1

A: “angular” ulcers-the unusual irregular and “angular” appearance may at first suggest factitial disease, however imaged shows a 56-year-old woman with CREST syndrome. B: rheumatoid ulcer with an angulating configuration or undulating border. C: Digital ulceration in a patient with systemic sclerosis. Ulcers located distally like the one shown here, are more likely to be the result of significant ischemia. Autoamputation is often the outcome. D: Calcinosis and a painful nonhealing ulcer on the big toe in a patient with systemic sclerosis. Patients with systemic sclerosis commonly develop calcinosis, especially in CREST syndrome.