Expert Perspectives On Clinical Challenges: Expert Perspectives: Challenges in Scleroderma
You are consulted to evaluate a 56 ‐year‐old woman with known Raynaud's phenomenon, finger swelling of several; months’ duration, and new hypertension with a blood pressure of 160/100 mm/Hg. She also reports progressive shortness of breath. Physical examination reveals telangiectasias, sclerodactyly, and proximal skin sclerosis (thick shiny skin on the chest and upper arms), and bibasilar crackles are found on chest examination. Laboratory tests reveal evidence of microangiopathic hemolytic anemia, thrombocytopenia, and elevation of the serum creatinine level (previously normal), and chest computed tomography shows eviden ce of ground‐glass opacification in both lower lung fields.
Source: Arthritis and Rheumatology - Category: Rheumatology Authors: Robert W. Simms Tags: Expert Perspectives On Clinical Challenges Source Type: research
More News: Anemia | Arthritis | CT Scan | Hypertension | Laboratory Medicine | Microangiopathic Hemolytic Anemia | Raynaud's Phenomenom | Rheumatology | Scleroderma | Skin | Thrombocytopenia