Systemic Sclerosis Online Journals

 Diffuse scleroderma can cause musculoskeletal, pulmonary, gastrointestinal, renal and different complications. Patients with extra cutaneous involvement are more likely to have involvement of the inner tissues and organs. Most patients (over eighty%) have vascular signs and symptoms and Raynaud's phenomenon, which results in assaults of discoloration of the hands and toes in response to bloodless. Raynaud's usually affects the fingers and toes. Systemic scleroderma and Raynaud's can purpose painful ulcers on the arms or feet which are referred to as virtual ulcers. Calcinosis (deposition of calcium in lumps beneath the skin) is also not unusual in systemic scleroderma, and is frequently visible close to the elbows, knees or different joints. The first joint signs that sufferers with scleroderma have are normally non precise joint pains, that may lead to arthritis, or cause discomfort in tendons or muscles. Joint mobility, especially of the small joints of the hand, can be restricted via calcinosis or pores and skin thickening. Patients may expand muscle weak point, or myopathy, both from the ailment or its treatments. Diffuse scleroderma can affect any a part of the gastrointestinal tract. The maximum commonplace manifestation within the esophagus is reflux esophagitis, which can be complicated by way of esophageal stricturing, or benign narrowing of the esophagus. This is best to start with handled with proton pump inhibitors for acid suppression, but may additionally require bougie dilatation in the case of stricture.

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