Case records of SGTH: Scleroderma with nephrotic syndrome.

1. Pulmonary & renal involvement in scleroderma Dr. Rauf R. Merza ( ASS.PROFESSOR ) Prepared by : Dr. Yahya A. Mohammad

2. A 44 years old female from Kalar presented with swelling of both hands & feet of one month duration .

7. fever with rigor & sweating associated with exertional dyspnea .

8. Systemic review : G.I.T. : dysphagia ( difficulty in swallowing solid food eased by drinking water ) , with

9. Inability to open her mouth widely , heartburn , wt. loss , & constipation .

10. C.V.S. : normal . Resp.S. : dry cough , exertional dyspnea . G.U.T. : bilateral loin pain , dysuria , &

11. frequency . C.N.S. : normal . M.S.K. : generalized bodyache & fatigue .

17. Gyneocological Hx. : G6 P6 A0 Family Hx. : -ve Social Hx. : not smoker or drinker .

24. end inspiratory crackles . Abdomen : soft .no organomegaly .

25. Skin : Thickining of skin of hands , forearms , arms , neck , chest , & lower limbs .

27. over the palmar surface of hands & flexion contractures of fingers specially little finger .

34. Investigations

43. Pulmonary Function Test

44. restrictive lung dis. (pulm. fibrosis )

45. CT scan of chest

54. Scleroderma Classification : 1. Diffuse cutaneous SSc. 2. Limitted cut. SSc.

55. 3. Overlap syndrome . 4. Undefined connective tissue dis. 5. Localized scleroderma .

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