Identifying and treating cardiac involvement in systemic sclerosis can be a challenge
In an observational study, physicians found that systemic rheumatic disease exacerbation and treatment-related infections were often related to the lungs…
Strategies to diagnose and manage dyspnea in the scleroderma patient
A 60-year-old woman with a six-month history of retroperitoneal fibrosis transfers her care to you. She initially presented with severe bilateral flank pain radiating to the abdomen and chest. A computerized tomography (CT) angiogram of the abdomen demonstrated an infrarenal abdominal aortic aneurysm surrounded by a thick inflammatory rind entangling the left renal vein and…