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Systemic scerosis
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![Page 1: Systemic scerosis](https://reader034.fdocuments.us/reader034/viewer/2022052323/5594b1fa1a28ab16648b46d0/html5/thumbnails/1.jpg)
SYSTEMIC SCEROSIS(scleroderma)
Generalised disorder of connective tissue affecting•Skin
•Internal organs•Vasculature
CREST syndrome•Calcinosis•Raynaud’s•Esophageal involvement•Sclerodactyly•Telangiectasia
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CASE REPORT
A 30 yrs male presented with complaints of• giddiness • Palpitations• Heart burn and indigestion• Decreased vision (Rt eye) with floaters
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PAST HISORY15 Yrs back diagnosed as systemic sclerosis with h/o• shiny hard skin (hand)• Blue fingers on winter mornings
2000Bilateral renal calculi
2003Jaw swellingSurgery for calcinosis (thrice)
2005Ankle and shoulderjt pains Asymmetrical,Morning stiffness +RF +kept on steroids
Treated for hypertension
Epistaxis and bleeding gums
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EXAMINATION
• Bilateral parotid swelling
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Thin lips
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TELANGIECTASIA
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Hands showing • tight shinyskin,• sclerodactyly• thickening of extensor
tendon sheath
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CALCINOSIS
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MUSCULOSKELETAL SYSTEM
Stiffness at hip,knee,lower spine
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Ophthalmic examination
Visual acuity Right eye Left eye
Without correction
3 mt(cf) 6/60
With correction - 6/6
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THANK U