Limited Scleroderma-Induced Pulmonary Arterial Hypertension Resulting in Impaired Postoperative Respiratory Function.
| Autor: | Shah FA; Internal Medicine, Lewis Gale Medical Center, Salem, USA., Mahler N; Internal Medicine, Lewis Gale Medical Center, Salem, USA., Braford M; Internal Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA., Greene N; Pulmonary and Critical Care, Lewis Gale Medical Center, Salem, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Mar 06; Vol. 13 (3), pp. e13742. Date of Electronic Publication: 2021 Mar 06. |
| DOI: | 10.7759/cureus.13742 |
| Abstrakt: | Limited scleroderma falls under the umbrella of systemic sclerosis, an autoimmune disease that presents with multiorgan dysfunction that includes pulmonary arterial hypertension. We examine a case of pulmonary arterial hypertension in an elderly nonsmoker with a history of limited scleroderma. The patient presented with abdominal tenderness and was diagnosed with a sigmoid colonic stricture. She underwent laparoscopic bowel resection. During and after her surgery, she suffered from worsening respiratory function and decompensated, developing a large pleural effusion that led to a thoracentesis and a prolonged hospital course. Patients with scleroderma can develop acute symptoms involving several organ systems, including the colonic tract and lungs, as seen in our patient. A thorough workup and continuous close management and monitoring are necessary to avoid further complications in these patients, especially in the postoperative period. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Shah et al.) |
| Databáze: | MEDLINE |
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