Fig. 2

Clinical featured of the case patient. a Facial features at the time of admission; Shiny skin on the face. Face dimples previously could not be identified. b Nail fold capillaroscopy: severe abnormal capillaroscopy findings including bleeding, giant loop and disappearance of capillary consistent with the late phase in SSc. c, d Patient’s hands at the time of admission; she had puffy fingers and induration of the skin proximal to the metacarpophalangeal joints, the difficulty of grasping hands