Internal Medicine

A Visual Guide to Scleroderma and Approach to Treatment by Maureen D. Mayes

By Maureen D. Mayes

A visible advisor to Scleroderma and method of therapy deals a concentrated research of the analysis and administration of scleroderma. in particular designed to enlighten and replace scholars and trainees, training rheumatologists and common practitioners at the a number of kinds of systemic sclerosis, the e-book is designed to be an simply available software that still covers strength problems and the most recent remedy advancements. a visible consultant to Scleroderma and method of therapy emphasizes attractiveness of universal medical positive factors through targeting and illustrating critical and not more critical types of the illness that may contain inner organs reminiscent of the gastrointestinal tract, middle, lungs and kidneys. photographs and radiographs introduce each one bankruptcy and are observed through a consultant to workup and therapy. A entire and necessary addition to the literature, this article is not just an important source for college students, trainees and first care physicians; it's going to even be of important curiosity to experts within the fields of rheumatology, dermatology, pulmonology, cardiology, gastroenterology and nephrology.

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The ‘distal-dorsal difference’: a thermographic parameter by which to differentiate between primary and secondary Raynaud’s phenomenon. Rheumatology (Oxford). 2007;46(3):533–8. 11. Sebastiani M, Manfredi A, Colaci M, D’amico R, Malagoli V, Giuggioli D, et al. Capillaroscopic skin ulcer risk index: a new prognostic tool for digital skin ulcer development in systemic sclerosis patients. Arthritis Rheum. 2009;61(5):688–94. 12. Smith V, De Keyser F, Pizzorni C, Van Praet JT, Decuman S, Sulli A, et al.

This lesion will likely develop into a shallow ulcer due to small vascular disease in the finger and skin arterioles 5 Ischemic Digital Ulcers 55 Fig. 8 Digital ulcer due to vascular compromise and tissue ischemia. This lesion is present in a patient with limited scleroderma. Note the deep ulcer has no signs of infection and is located on the distal finger typical of an ischemic ulcer due to closure of digital arteries and cutaneous arterioles Fig. 9 Examples of relative small vascular disease secondary to scleroderma causing ischemic digital ulcers.

Semin Arthritis Rheum. 2012;42(1):42–55. Chapter 4 Nailfold Capillaroscopy Michael Hughes and Ariane L. Herrick Abstract Microvascular abnormalities are a key feature of systemic sclerosis and typically occur early in the disease course. Nailfold capillaroscopy is a noninvasive clinically useful tool that can provide valuable information for the diagnosis and prognosis of primary Raynaud’s disease and the scleroderma spectrum of autoimmune disorders. This chapter presents the diverse range of capillaroscopic abnormalities found in patients with SSc-spectrum disorders, and exemplifies the role of capillaroscopy in diagnosis and assessment.

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