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9 Cards in this Set
- Front
- Back
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SCLERODERMA
Systemic? Localized? |
Systemic (what we will talk about today)
diffuse scleroderma limited scleroderma (CREST syndrome) Localized (these are derm topics) morphea linear scleroderma |
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Scleroderma
Classic presentation |
Vertical tightness around mouth, look long, pointed, and stretched – mouse face
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Epidemiology of Scleroderma
Incidence? Sex ratio? Age? |
Incidence: 5 - 10 new cases/million/year
Sex ratio: F:M = 3 or 4:1 Age: 30 - 50 |
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Scleroderma Hands: (____ phase)
Creases obliterated Starts in____ and progresses to _____ |
Puffy Phase (early)
Starts in____ and progresses to _____ (listen again) |
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Scleroderma Hands: Tight Phase (____ phase)
__________ of tip of fingers |
Late phase
resorption |
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Scleroderma findings
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Scleroderma Hands: Puffy Phase
Scleroderma Hands: Tight Phase Digital Telangiectasias and Acroosteolysis Excess Dermal Collagen Digital Calcinosis Raynaud’s Phenomenon Nailfold Capillaries (irregular cuticle that splits in response to ischemia) Esophageal dysmotility |
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Management of Raynaud's, most important =
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behavior (dressing appropriately, mittens, gloves, scarves, heavy socks, stop smoking (nicotine in 1 cigarette decreases blood flow to finger down to 20%)
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Scleroderma Raynaud's findings:
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Digital Pitting Scars (don't confuse with diabetes findings)
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Acroosteolysis: what is this?
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Break up of distal finger from ischemia
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