All of the following are features of scleroderma except:: (A) Diffuse periosteal reaction, (B) Esophageal dysmotility, (C) Erosion of tip of phalanges, (D) Lung nodular infiltrates
Answer is A. Scleroderma Characterised by inflammatory, vascular and fibrotic changes of skin and a variety of internal organs. Lung involvement- diffuse and bilateral basilar reticulonodular infiltrates and rarely pulmonary nodules. Extremity radiography should be performed to reveal calcinosis and resorption of the distal tufts of the digits. * Esophageal dysmotility can be demonstrated using esophageal manometry. Bone changes in scleroderma are acro-osteolysis, periaicular osteoporosis, joint space narrowing and erosions.