Neurotropic ulceration in systemic sclerosis.

Scleroderma is primarily a cutaneous disorder but systemic involvement is common and neurological complications are increasingly recognized but previously poorly documented. Few cases of peripheral nervous system involvement in scleroderma have been reported. The peripheral nervous system, however, is rich in connective tissue and sclerodermal involvement may not be as unusual as the literature suggests. A case in which there was a mixed sensorimotor peripheral neuropathy with neurotropic ulceration in a patient with systemic sclerosis is reported.