KROK 1 2023 – Question 28 · KROK (Medicine) · Pathomorphology

A patient with a suspected systemic disease underwent a biopsy of an area of increased density and immobility in the skin. In the dermis, the study detected all types of connective tissue disorganization with a weak cellular reaction, gross sclerosis, and hyalinosis. What disease can be characterized by these pathological changes?

  1. A. Scleroderma
  2. B. Polyarteritis nodosa
  3. C. Dermatofibroma
  4. D. Psoriasis
  5. E. Systemic lupus erythematosus
Hint

Consider a systemic connective-tissue disease in which fibrosis with little inflammation makes the skin hard and immobile, with widespread sclerosis and hyalinosis.

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