GET THE APP

The answer in your hands
..

Journal of Clinical Respiratory Diseases & Care: Open Access

ISSN: 2472-1247

Open Access

Clinical/Medical Image - (2020) Volume 6, Issue 1

The answer in your hands

Correia JB*, Ferro R, Campos A and Torres AS
*Correspondence: Correia JB, Department of Pneumology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal, Tel: + 351 963164312, Email:
Department of Pneumology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
Department of Pneumology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal

Received: 22-Nov-2019 Published: 06-Jan-2020 , DOI: 10.37421/2472-1247.2020.6.144
Citation: Correia JB, Ferro R, Campos A and Torres AS (2020)The Answer in Your Hands. J Clin Respir Dis Care 6: 144.
Copyright: © 2020 Correia JB, et al. 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.

Abstract

The authors present a clinical case of pulmonary fibrosis with a singular diagnostic path in which clinical examination was the key for establishing the correct diagnosis.

noheading

Clinical-Respiratory-hands-skin

Figure 1. Cutaneous telangiectasia on the palms of both hands and skin thickening of the fingers.

Clinical Image

71-year-old female patient with no relevant clinical history, who was referred to pulmonology consultation due to worsening, progressive dyspnea and dry cough.

Chest radiograph showed a diffuse reticular infiltrative pattern. CT scan confirmed diffused reticular opacities with traction bronchiectasis sparing the subpleural area, compatible with fibrotic non-specific interstitial pneumonia. She referred no exposure to organic or inorganic agents, suggestive of hypersensitivity pneumonitis. She also denied any personal or familial clinical history of connective tissue diseases and presented no symptoms suggestive of them either. She wasn’t under no pharmacological treatment that could explain the radiologic pattern. Objective examination showed several cutaneous telangiectasia on the palms of both hands and skin thickening of the fingers (Figure 1), not extending to the Metacarpophalangeal joint and with no digital ulcers. Auto-immune laboratory studies confirmed positive Anti–topoisomerase I antibodies. This, added up to the remaining clinical features, confirmed the diagnosis of Systemic Sclerosis, according to the current classification criteria [1]. The patient started therapy with methotrexate, prednisolone and Nifedipine, showing clinical and functional stability (Figure 1) [2].

References

Google Scholar citation report
Citations: 86

Journal of Clinical Respiratory Diseases & Care: Open Access received 86 citations as per Google Scholar report

Journal of Clinical Respiratory Diseases & Care: Open Access peer review process verified at publons

Indexed In

 
arrow_upward arrow_upward