The case presented was a 62-year-old woman with Raynaud’s phenomenon, swollen fingers, tightening of theskin of her hands indicating sclerodactyly (scleroderma of the fingers), and low-grade myositis manifest by ahistory of progressive weakness and mild elevation of serum creatine kinase. This combination of featuressuggested that the patient had scleroderma (also known as systemic sclerosis, SSc) or polymyositis/systemicsclerosis (PM/SSc) overlap syndrome.