08 April 2025
: Case report 
Co-Occurrence of Systemic Sclerosis, Lupus, and Celiac Disease in Multiple Autoimmune Syndrome: A Case Report
Challenging differential diagnosis, Rare coexistence of disease or pathology
Jawaher Saleh Enani
1BDEF*, Abdulaziz Aljasser 1DF, Nuha N. Alrajhi 2DEF, Salman Saad Alsaleh3ADF, Mohammed A. Omair 1DF
DOI: 10.12659/AJCR.945176
Am J Case Rep 2025; 26:e945176
Figure 1. (A, B) Hands showing joint deformities and swelling in chronic inflammatory arthritis. Clinical image of a patient’s hands demonstrating joint deformities and swelling, consistent with findings in a chronic inflammatory condition. The appearance includes sclerodactyly, calcinosis, and potential boutonnière or swan neck deformities, suggesting significant joint involvement. The surrounding skin shows mild erythema, and the overall presentation highlights the severity of disease progression.