Publication: Diffuse Systemic Sclerosis with Left Ventricular Diastolic Dysfunction: A Case Report
Date
2019
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 457 - 459
Publisher
Nepal Medical Association
Abstract
Abstract
Systemic sclerosis is a connective tissue disease characterized by wide-spread vascular lesions and fibrosis of the skin and internal organs. It is an immune mediated rheumatic disease with the presence of an immunological dysfunction of T lymphocytes, especially Th1 and Th17 subtypes. It affects gastrointestinal, pulmonary, vascular, musculoskeletal, cardiac and various other systems. This disease is rare but has high morbidity and mortality with less known effective management. We report a case of 70-year-old female with systemic sclerosis presented with pain along with swelling over multiple joints since 18 months which exacerbated since last 6 months and wound over finger tips since last 2 weeks. We present here other various signs, investigations and management of this uncommon disease systemic sclerosis, also known as scleroderma. Various systems are evident to be involved including cardiac (left ventricular diastolic dysfunction) and peripheral vascular system (Raynaud’s phenomenon).
Keywords: connective tissue disease; immune-mediated; rheumatic disease; scleroderma; systemic sclerosis.
Description
Asmita Neupane
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Prabesh Luintel
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Subodh Sagar Dhakal
Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords
connective tissue disease, immune-mediated, rheumatic disease, scleroderma, systemic sclerosis
Identifier
https://doi.org/10.31729/jnma.4768