“…The majority have so far been observed by rheumatologists (Bennet et a l, 1977;Caperton et al, 1976;Gray and Poppo, 1977;Nassonova et al, 1978;Rodnan et a/., 1975a, b;Shulman, 1974Shulman, , 1975aShumacher, 1976;Sokoloff personal commun., 1977;Strom et al, personal commun., 1977;Stubbs and Hughes, 1976;Talbott and Cusani, 1976) but reports have also appeared in dermatological journals (Chevrant-Breton et al, 1977;Fleischmajer et al, 1978;Torres and George, 1977;Weinstein and Schwartz, 1978). The main symptoms (table I) are swelling and stiffening of skin on arms and legs with diffi culties of movement due to flexion contrac tures, weakness and muscle pain.…”