تصلب الجلد : التغيرات الوجهية, منظر جانبي Scleroderma: facial changes, lateral view

This young woman has drawn, tight lips and tight, shiny skin over her cheeks and nose. Note her lack of skin folds. Diffuse hypo- and hyperpigmentation and alopecia are shown. Muscle atrophy has occurred at the corner of her mouth.