Oral medicine case book 62 : CREST syndrome

Abstract

A 42-year-old female patient presented to the Department of Periodontics and Oral Medicine, with a main complaint of labial gingival recession on tooth 41. A comprehensive periodontal examination was performed with no findings of periodontitis. Gingival recession was found on teeth 41, 43, 45, 31, 34, and 13. Clinical examination of the intra-oral mucosa and peri-oral facial skin showed multifocal asymptomatic telangiectases (Figures 1 to 3). The patient disclosed a chronic history of Raynaud’s phenomenon which was initially diagnosed in her early teens. In addition, there was evidence of sclerodactyly and focal areas of calcinosis cutis (calcinosis of the skin) (Figure 4). The patient complained of mild dysphagia and gastric reflux.