Systemic Sclerosis With Cardiac Manifestations: A Case Report.

Autor: Sison J; Internal Medicine, Atrium Health Navicent The Medical Center, Macon, USA., Gouge J; Internal Medicine, Atrium Health Navicent The Medical Center, Macon, USA., Pikus E; Internal Medicine, Atrium Health Navicent The Medical Center, Macon, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jul 19; Vol. 16 (7), pp. e64952. Date of Electronic Publication: 2024 Jul 19 (Print Publication: 2024).
DOI: 10.7759/cureus.64952
Abstrakt: Systemic sclerosis (SSc), or scleroderma, is a multisystem disease process that can result in significant end-organ damage if left undiagnosed or untreated. While some manifestations are well-known and widely researched, other presentations of SSc, including the presentation of our patient, require further investigation. Though many non-pulmonary and non-dermatologic manifestations lack widespread recognition, such presentations are important to recognize clinically in order to adequately investigate and appropriately treat. Fibrotic changes affect not only the skin but also the myocardial conduction system which can result in chronic systolic heart failure and significant conduction delays. This report is a case of newly diagnosed scleroderma that presented with worsening dyspnea and activity intolerance who was discovered to have new onset prolonged PR interval, right bundle branch block, and left anterior fascicular block. After a comprehensive workup, the patient was diagnosed with scleroderma and underwent treatment by a multidisciplinary team.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Sison et al.)
Databáze: MEDLINE