Hi everyone!

I have this female pt, 50yo who c.o of bilateral upper limb Symptoms and neck pain. She has developed a very kyphotic posture in the upper T/S and very lordotic mid C/S.

What I don't understand is the nature of her skin over the cervico thoracic junction. She has developed a considerable thickening of the skin which resembles a patch. It doesn't wrinkle and it moves as one. So when I do a tranverse on her C6 lets say, the 'patch' which is 2cm away, moves in the direction i'm applying the force. And there appears to be a focal point somewhere around T1, as if there's a thread under the skin that keeps it to that specific point.

On the Wikipedia reference-linkMRI nothing has been reported but I can clearly see the fat tissue being much thicker at the area. There is no discoloroution over the area.

Should I take this as a hypomobile connective tissue with trophic changes?
I would appreciate any imput,

Thank you!

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