Connective Tissue Disorders

Rheumatoid Arthritis No. 1

Significant ulnar deviation of the digits, typical of rheumatoid arthritis.

Note white discolouration of digits. (Courtesy of Dr. D. Jerome)

Onycholysis: Lifting of the nail starting at the distal end, seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)

Nail pitting seen in psoriatic arthritis. (Courtesy of Dr. D. Jerome)

Violaceous, hyperpigmented, atrophic plaques; keratotic scale with follicular plugging and scarring. (Courtesy Dr. L. From)

Classic heliotrope rash of periorbital and perinasal violaceous erythema. (Courtesy Dr. M. Urowitz)