By Richard M. Silver (auth.), Richard M. Silver, Christopher P. Denton (eds.)
Case experiences in Systemic Sclerosis offers particularly with Systemic Sclerosis in a case examine structure. every one case presentation contains illustrative figures, a dialogue of the pathophysiology proper to the case, a dialogue of administration that's either evidence-based and specialist opinion-based and a number of other key references for additional studying. With its easy-to-use layout, this booklet offers a number of diversified manifestations of Systemic Sclerosis to quite a lot of readers. simply because this ailment has a wide variety of systemic positive factors, Case experiences in Systemic Sclerosis is a worthy reference instrument not just to the group of rheumatologists (trainees, educational and personal perform rheumatologists) and dermatologists, but additionally very likely to internists, gastroenterologists, pulmonologists, cardiologists and nephrologists.
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Additional resources for Case Studies in Systemic Sclerosis
Heart rate 70 bpm, blood pressure 108/74 mmHg. Skin: hands were cool to touch, but were otherwise normal. Specifically, there was no sclerodactyly and no digital pitting, and the nailfold margins looked normal to the naked eye. Cardiac and peripheral vascular: heart rate was regular, heart sounds normal, no edema, all distal pulses easily palpable. Chest: no adventitial breath sounds. Abdomen: soft and non-tender, no masses palpable. Neurological: negative Tinel’s sign over both median nerves. Musculoskeletal: no abnormalities.
Tashkin DP, Elashoff R, Clements PJ, Scleroderma Lung Study Research Group, et al. Effects of 1-year treatment with cyclophosphamide on outcomes at 2 years in scleroderma lung disease. Am J Respir Crit Care Med. 2007;176:1026-1034. 9. Nash RA, McSweeney PA, Crofford LJ, et al. High-dose immunosuppressive therapy and autologous hematopoietic cell transplantation for severe systemic sclerosis: long-term followup of the US multicenter pilot study. Blood. 2007;110(4):1388-1396. 10. Goh NS, Desai SR, Veeraraghavan S, et al.
Her Raynaud’s phenomenon had not progressed over the previous 3 years, but she had become more aware of it because of its impact on her leisure activities. Her feet were also affected, but were much less of a problem than her hands. She had had no finger ulcers. Specifically, she denied any history of rashes, mouth ulcers, or sicca symptoms and she had no problems with swallowing and no heartburn. She was a nonsmoker. L. M. P. L. Herrick Fig. 1 Normal nailfold capillaries. The capillary architecture is normal with no capillary enlargement, loop drop-out, or hemorrhages (×300 magnification) Her primary care provider prescribed nifedipine 5 mg three times daily, but this caused headaches and so she discontinued this.