CREST syndrome
The symptoms involved in CREST syndrome are associated with the
generalized form of the disease systemic sclerosis (scleroderma).
CREST is an acronym for the clinical features that are seen in a
patient with this disease. The "C" stands for calcinosis, where
calcium deposits form under the skin on the fingers or other areas
of the body. The "R" stands for Raynaud's phenomenon, spasm of
blood vessels in the fingers or toes in response to cold or stress.
The "E" represents esophageal dysmotility, which can cause
difficulty in swallowing. The "S" is for sclerodactyly, tightening
of the skin causing the fingers to bend. Finally, the letter "T" is
for telangiectasia, dilated vessels on the skin of the fingers,
face, or inside of the mouth.
Usually only 2 of the 5 symptoms of the CREST syndrome are
necessary to be diagnosed with the disease.
Review Date: 2/22/2009
Reviewed By: Ariel D. Teitel, MD, MBA, Chief, Division of
Rheumatology, St. Vincent’s Hospital, New York, NY. Review provided
by VeriMed Healthcare Network. Also reviewed by David Zieve, MD,
MHA, Medical Director, A.D.A.M., Inc.
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