Journal of Clinical Case Reports

Helena Marques

Publications

• Case Report
  Systemic Sclerosis: A Hard Approach in a Hardened Skin
  Author(s): Helena Marques and Cristina Ferreira TavaresHelena Marques and Cristina Ferreira Tavares
  
  Systemic sclerosis (SSc) is a multisystem disease characterized by widespread vascular dysfunction and progressive fibrosis of the skin and internal organs. SSc’s prevalence ranges from 30 to 240 per million inhabitants, being females mostly affected. This case is about a female, 43 years old. Visited family doctor with complaints of fatigue, lumbago at nighttime and systemic myalgia. Pain, edema and thumb’s paresthesia persisting for a week preceding the time of the appointment. Physical examination showed edema of the distal phalanges bilaterally. No skin or nail changes were present. No signs of arthritis. Raynaud’s phenomenon with coarse speckle >1:160, normal ds-DNA and RF, sedimentation rate of 32 mm/h. The patient was referred to a rheumatology consultation. During one year of follow-up in rheumatology consultation, just ke.. Read More»
  DOI: 10.4172/2165-7920.1000862

  Abstract PDF