All::Rheumatology::Diseases::Systemic sclerosis

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Intro

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What is Systemic sclerosis?

a condition of unknown aetiology characterised by hardened, sclerotic skin and other connective tissues

Systemic sclerosis

What patient groups is Systemic sclerosis most common?

females (4:1)

Systemic sclerosis

What antibodies are found in Systemic sclerosis?

ANA positive in 90% RF positive in 30%

Systemic sclerosis

What is Scleroderma?

tightening and fibrosis of skin

Systemic sclerosis

Limited cutaneous systemic sclerosis

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What is often the first sign of Limited cutaneous systemic sclerosis?

Raynaud's

Systemic sclerosis

What parts of the body is effected by scleroderma in Limited cutaneous systemic sclerosis?

affects face and distal limbs predominately

Systemic sclerosis

What antibodies are associated with Limited cutaneous systemic sclerosis?

anti-centromere antibodies

Systemic sclerosis

What is CREST syndrome?

  • a subtype of limited systemic sclerosis
  • Calcinosis, Raynaud's phenomenon, oEsophageal dysmotility, Sclerodactyly, Telangiectasia

Systemic sclerosis

Diffuse cutaneous systemic sclerosis

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What parts of the body is effected by scleroderma in Diffuse cutaneous systemic sclerosis?

trunk and proximal limbs predominately

Systemic sclerosis

What antibodies are associated with Diffuse cutaneous systemic sclerosis?

anti scl-70 antibodies

Systemic sclerosis

What respiratory complications are seen in Diffuse cutaneous systemic sclerosis?

interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH)

Systemic sclerosis

What non-respiratory complications can develop in Diffuse cutaneous systemic sclerosis?

renal disease and hypertension

Systemic sclerosis

What is the prognosis in Diffuse cutaneous systemic sclerosis?

poor

Systemic sclerosis