Dilated vessels indicate disease

She also had prominent lines or rhagades around her mouth and stiff swollen fingers with loss of the finger pulp and associated Raynaud’s disease. She was suffering from scleroderma, the CREST (Calcification, Raynaud’s phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasia) variant. The telangiectasia may be mat-like, with square and raised lesions. They are more difficult to treat with a hyfrecator or laser because of their size but vascular lasers are generally effective.

The condition can involve the lungs with fibrosing