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Hwang, Lim, Kim, Kim, Moon, Lee, and Cho: Acroosteolysis of Scleroderma Associated with a Felon
Case Reprot
Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2010; 45(1): 88-91.

Published online: 28 February 2010

DOI: https://doi.org/10.4055/jkoa.2010.45.1.88

Acroosteolysis of Scleroderma Associated with a Felon

In Hwan Hwang, M.D., Moon Sup Lim, M.D., Kwang Yul Kim, M.D., Hyung Chun Kim, M.D., Sang Ho Moon, M.D., Ji Hoon Lee, M.D., Sung Joon Cho, M.D.

Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea.

Correspondence to: Moon Sup Lim, M.D. Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital, 374-75, Namsan-dong, Gumjung-gu, Busan 609-728, Korea. TEL: +82-51-580-1422, FAX: +82-55-755-8365, oshwangih@medigate.net

Received 3 June 2009       Accepted 9 October 2009

Copyright © 2010 by The Korean Orthopaedic Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: scleroderma, acroosteolysis, felon

Figures and Tables

Figure 1
Photograph shows shortening and sclerotic thickening of fingers with a felon.
jkoa-45-88-g001
Figure 2
Radiograph of both hands shows acroosteolysis of distal phalanges excluding second and fifth finger in left hand.
jkoa-45-88-g002
Figure 3
In fingertip, there was severe inflammatory and degenerative pulp with neutrophil infiltration (white arrow) and abnormal accumulative collagen (black arrow) (H-E stain, ×200).
jkoa-45-88-g003

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