Scleroderma is a skin disease of unknown cause. The systemic form frequently begins peripherally, producing atrophy of the underlying fat and a thickening of the dermis. Tumors associated with scleroderma are distinctly uncommon. Only one other similar case has been alluded to in the literature.This patient presented with tumors 4mm to 3cm in size over the fingers and toes. The tumors were tense to touch although readily depressable without pain. A large tumor was removed surgically from the right index finger. Hematoxylin and eosin staining of paraffin sections revealed a normal appearing epidermis with slight thickening of the papillary dermis. The reticular dermis was edematous and contained sparse amounts of collagen with some fibroblast-like cells which were spindle-shaped and stellate. Histochemical stains showed a large quantity of amorphous material that was PAS positive, diastase-resistant and alcian blue positive at pH 4.
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