Sunday 1 June 2008

scleroderma



the skin over the fingers is smooth, shiny and tight
there is digital ischemia and ulceration with pulp infarction and atrophy
there is dilated nail fold capillaries with nail fold infarct and ragged cuticle
there is calcinosis.
now comment on any features on the face.
what are the other organs involved?
what are the varient of scleroderma?
what are the lines of manahement?


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7 comments:

  1. Anonymous13 June 2008 at 14:35

    types of scleroderma:
    1-limited:CREST syndrome
    calconosis,raynaud's,oesophagitis,sclerodactly,telangectasia
    2-diffuse:skin,trunk and extremities affected

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  2. Anonymous18 January 2009 at 03:04

    scledoerma sine scwhich is characterised by minimal skin involvement and heavy organ involvement, and morphea which is cutaneous only

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  3. Anonymous15 July 2009 at 07:41

    management:
    -hand care, hand warmwers and calcium channel blockers for Raynauds's
    -prostacyclin infusion for severe Raynaud's,renal disease and pulmonary hypertensoin.
    -prokinatic agents for dismotility
    -PPI for GORD
    -ACEi for renal disease including hypertensive crises.
    -steriods, cyclophosphamide or azathioprine for pulmonary fibrosis.

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