The importance of ultrasonography in detecting joint calcification in pregnant women with rhupus

Here we present a pregnant woman diagnosed with Rhupus (SLE and RA overlap syndrome) and CREST syndrome (calcinosis cutis, Raynaud«s phenomenon, esophageal dysmotility, sclerodactyly, telangiectasia) using ultrasonography for the diagnosis of calcinosis cutis while investigating the etiology of proteinuria. Since our case was pregnant, arthritis and hardness in her fingers were assessed by USG as a radiological imaging. The USG examination detected tenosynovitis, nodular calcification, and erosions in all PIP levels and the patient»s treatment was arranged. USG can be successfully used in the assessment of the involvement of musculoskeletal system in the ligaments diseases especially to avoid harmful effects of X-rays on the pregnancy, just as we did in our own case.