Case Presentation: A 62-year-old female presented with a two-week history of exertional dyspnea, orthopnea, lower extremity edema, and headaches. She had puffy hands, diffuse joint pain, and skin thickening which limited range of motion of her wrists, elbows, ankles, and knees. She was hypertensive with rales and moderate edema to the knees bilaterally. BNP and [...]

Case Presentation: A 9-year-old female presented with two months of hyperpigmented skin and stiffness mainly in her lower extremities. She had difficulty brushing her hair and walking accompanied by weight loss and dyspnea. On examination, diffuse hyperpigmentation and peau d’orange skin changes were observed with the “groove sign” on her right medial thigh. She also [...]