Mediastinal lymphadenopathy preceding skin and lung fibrosis in systemic sclerosis.

We report a case of systemic sclerosis (SSc) associated with mediastinal lymphadenopathy. A 77-year-old woman was admitted because of general fatigue. Mediastinal lymphadenopathy was diagnosed by chest computed tomography before the skin and lung involvements of SSc was discovered. The mediastinal lymphadenopathy declined with the development of lung fibrosis.