A 38 year old Arab woman presented recently to the hospital with cellulitis of the left hand and ischaemia of the right second toe. Multiple, coarse, and firm cutaneous nodules in various sites of the body were also noted in the examination. She had been diagnosed with systemic lupus erythematosus/myositis overlap syndrome for approximately 10 years and had not been aware of telengiectasis, sclerodactyly or …