Managing the ischemic finger in scleroderma

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The patient is a 48-year-old Caucasian woman with limited scleroderma. The features of her disease include stiff puffy fingers, gastrointestinal reflux disease (GERD), severe Raynaud’s phenomenon (RP), and a sicca syndrome. On her initial examination, the blood pressure was 120/69, weight 130 lb, pulse 79, temperature 98 °, and normal respiratory rate. Sclerodactyly, numerous cutaneous telangiectasia on the palms and face, and definite abnormal nailfold capillaries with dilatation and areas of loss of capillaries were noted. The remainder of her examination was completely normal. The general laboratory testing was unremarkable but serology demonstrated high-titer anti-centromere antibodies. Both lung function testing and echocardiograph were normal. She was managed with a proton pump inhibitor for her GERD and artificial tears for her dry eyes.

Original languageEnglish (US)
Title of host publicationScleroderma: From Pathogenesis to Comprehensive Management
PublisherSpringer International Publishing
Pages673-678
Number of pages6
ISBN (Electronic)9783319314075
ISBN (Print)9783319314051
DOIs
StatePublished - Jan 1 2016

Keywords

  • Ischemia
  • Occlusive vascular disease
  • Prostacyclin
  • Raynaud’s phenomenon
  • Vasodilation therapy

ASJC Scopus subject areas

  • Medicine(all)

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