CREST syndrome affecting a 50 year old Hispanic female patients hand. CREST is a form of scleroderma, a chronic, rheumatic autoimmune disease. It is an acronym for its five main features. Calcinosis - formation of calcium deposits in soft tissue; Raynauds phenomenon - discolouration of the fingers and toes caused by decreased blood supply; osophageal motility disorder - difficulty in swallowing; sclerodactyly - a localized thickening and tightness of the skin of the fingers or toes; telangiectasias - small dilated blood vessels near the surface of the skin or mucous membranes. The condition has been related to previous Borrelia burgdorferi bacteria infections. There is no cure.