Digital ulcerations and ischemia in systemic sclerosis

Scleroderma and Raynaud phenomenon can be associated with ischemic and traumatic digital ulcerations and digital ischemia.
(A) Traumatic ulcers over the proximal interphalangeal joints.
(B, C) Ischemic digital tip ulcerations secondary to small arterial disease.
(D) Digital gangrene secondary to vascular disease.