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.