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Systemic Sclerosis of the Chest and Shoulders

In this image, bound-down taut skin throughout the chest also extends over the shoulders bilaterally, leading to a loss of range of movement of the shoulders.

By permission of the publisher. From Marder W, Lath V, Crofford L, Lowe L, McCune WJ: Atlas of Rheumatology . Edited by G Hunder. Philadelphia, Current Medicine, 2005.