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Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner
Systemic sclerosis (SSc) is a chronic, rare, and idiopathic disease characterized by the presence of microcirculatory and immune alterations followed by fibrosis. It is clinically heterogeneous and may present a rapid and progressive involvement that leads to disability and death. Over the years, th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820582/ https://www.ncbi.nlm.nih.gov/pubmed/36628007 http://dx.doi.org/10.7759/cureus.32291 |
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author | Freixo, Armanda Abreu, Cecília |
author_facet | Freixo, Armanda Abreu, Cecília |
author_sort | Freixo, Armanda |
collection | PubMed |
description | Systemic sclerosis (SSc) is a chronic, rare, and idiopathic disease characterized by the presence of microcirculatory and immune alterations followed by fibrosis. It is clinically heterogeneous and may present a rapid and progressive involvement that leads to disability and death. Over the years, the approach has changed with an increasing focus on early diagnosis. Raynaud's phenomenon (RP) and puffy fingers are "red flags" to refer the patients to rheumatology to detect and start the appropriate treatment of such a rare and complex disease. We present a case of a 75-year-old woman with edema and bright erythema on the back and palm of the hands, telangiectasias of the face, and RP with three years of evolution. The aim of this case is to recall the importance of primary care physicians in recognizing the main clinical manifestations of SSc that are sometimes undervalued. |
format | Online Article Text |
id | pubmed-9820582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98205822023-01-09 Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner Freixo, Armanda Abreu, Cecília Cureus Family/General Practice Systemic sclerosis (SSc) is a chronic, rare, and idiopathic disease characterized by the presence of microcirculatory and immune alterations followed by fibrosis. It is clinically heterogeneous and may present a rapid and progressive involvement that leads to disability and death. Over the years, the approach has changed with an increasing focus on early diagnosis. Raynaud's phenomenon (RP) and puffy fingers are "red flags" to refer the patients to rheumatology to detect and start the appropriate treatment of such a rare and complex disease. We present a case of a 75-year-old woman with edema and bright erythema on the back and palm of the hands, telangiectasias of the face, and RP with three years of evolution. The aim of this case is to recall the importance of primary care physicians in recognizing the main clinical manifestations of SSc that are sometimes undervalued. Cureus 2022-12-07 /pmc/articles/PMC9820582/ /pubmed/36628007 http://dx.doi.org/10.7759/cureus.32291 Text en Copyright © 2022, Freixo et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Family/General Practice Freixo, Armanda Abreu, Cecília Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title | Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title_full | Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title_fullStr | Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title_full_unstemmed | Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title_short | Early Diagnosis of Systemic Sclerosis: The Role of General Practitioner |
title_sort | early diagnosis of systemic sclerosis: the role of general practitioner |
topic | Family/General Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820582/ https://www.ncbi.nlm.nih.gov/pubmed/36628007 http://dx.doi.org/10.7759/cureus.32291 |
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