1. New method assessing severity
of oral complications
in Systemic Sclerosis
Karolina Sypel
Maria Krówka
Justyna Kocór
Justyna Lewandowska
Student Scientific Circle of the Student Scientific Society at the Department of Internal Medicine and Rheumatology, Medical University of Silesia
Supervisor of the Circle and tutor of the study: Eugeniusz J. Kucharz
2. Systemic sclerosis (SSc)
• Generalized disorder characterized by skin and
internal organ fibrosis associated with vascular
abnormalities and autoimmune phenomena
• The disease is typically seen in people 30 to 50
years old, but it can be diagnosed at any age.
Women are more likely than men to be
diagnosed with this condition.
3. • Diffuse systemic sclerosis covers more of the
skin, and is at risk of progressing to the visceral
organs, including the kidneys, heart, lungs and
gastrointestinal tract.
• Abnormalities are shown in all parts of the
alimentary tract
• Oral manifestations and the lip thickness
significantly affect quality of life of the patients
Systemic sclerosis (SSc)
12. Results
• Period from appearance of Raynaud’s
phenomenon was 5,98 years
(men – 2,2 years, women 7,56 years)
• Period from appearance of other symptoms than
Raynaud’s phenomenon (usually skin
hardening) was 5.82 years
(men – 2 years, women 7,42 years).
13. Results
• Oral abnormalities are common and significant
• There was a statistical correlation between
disease duration (from onset of Raynaud’s
phenomenon) and the mouth handicapping
p<0,01
15. Conclusion
• Oral abnormalities are common and significant
• The obtained results indicate the need for more
detailed examination of the oral cavity in SSc
patients and application of the MHiSS scale may
serve a useful tool for this purpose.
