Journal Information
Vol. 8. Issue 5.
Pages 425-431 (September - October 2002)
Share
Share
Download PDF
More article options
Vol. 8. Issue 5.
Pages 425-431 (September - October 2002)
CASO CLÍNICO/CLINICAL CASE
Open Access
Esclerose sistémica progressiva – Um caso clínico
Progressive systemic sclerosis – One case report
Visits
5268
Inês Vicente1, Eduardo Silva2, Deolinda Portelinha3, Manuela Meruje4, Rui Pato5
1 Interno do Internato Complementar de Pneumologia do Centro Hospitalar de Coimbra
2 Intemo do Internato Complementar de Medicina lnterna do Centro Hospitalar de Coimbra
3 Assistente Graduado de Medicina lnterna do Centro Hospitalar de Coimbra
4 Assistente Hospitalar de Anatomia Patológica do Centro Hospitalar de Coimbra
5 Director do Serviço de Pneumologia do Centro Hospitalar de Coimbra
This item has received

Under a Creative Commons license
Article information
RESUMO

A esclerose sistémica é uma doença relativamente rara sendo a terceira doença mais frequente do tecido conjuntivo, logo após a artrite rewnatoide e o lupus eritematoso sistemico. A sua forma de apresentação é variada e depende dos órgão afectados.

Os autores apresentam um caso clínico de fibrose pulmonar em doente do sexo feminino de 68 anos, apresentando queixas de dispneia há váraos anos e que foram sempre atribuidas a insuficiência cardíaca. O estudo da doençe permitiu concluir tratarse de urn caso de doença intersticial pulmonar (pneumonia intersticial usual) enquadrado no quadro de esclerose sistémica.

REV PORT PNEUMOL 2002; VIII (5): 425-431

Palavras-chave:
Pneumonia Intersticial Usual
esclerose sistémica
corticoterapia
ABSTRACT

Systemic sclerosis is relatively rare, being the third most frequent disease of the connective tissue, just behind rhewnatoid arthritis and systemic erythematous lupus. It’s presentation form varies with the affected organs.

The authors present a clinical case of lung fibrosis in a 68 years old female patient, with several years’ dyspnoea, always attributed to cardiac insufficiency. The investigation allowed to diagnose a lung interstitial disease (usual interstitial pneumonia) as a manifestation of systemic sclerosis.

REV PORT PNEUMOL 2002; VIII (5): 425-431

Key-words:
Usual Interstitial Pneumonia
systemic sclerosis
corti coid therapy
Full text is only aviable in PDF
BIBLIOGRAFIA
[1.]
S. Cheema Gurtj, P. Quismorio Francisco.
Intersticial lung disease in systemic sclerosis.
Current Opinion in Pulmonary Medicine, 7 (2001), pp. 283-290
[2.]
D.A. Isenberg, C. Black.
ABC of rheumatology: Raynaud’s phenomenon, scleroderma and overlap syndromes.
BMJ, 310 (1995), pp. 795-798
[3.]
C.M. Black, C.O. Stephens.
Systemic sclerosis (scleroderma) and related disorders.
Oxford Texbook of Rheumatology, 2 (1993), pp. 771-789
[4.]
O.A. Minai, R.A. Dweik, A. Arroliga.
Manifestations of scleroderma pulmonary disease.
Clin Chest Med, 19 (1998), pp. 713-731
[5.]
V.D. Steen, G.R. Owens, G.J. Fino, et al.
Pulmonary involvement in systemic sclerosis.
Arthritis Rheum, 28 (1985), pp. 759-767
[6.]
Carol Leighton.
Drug treatment of Scleroderma.
Drug, 61 (2001), pp. 419-427
[7.]
Barbara White, Wendy C. Moore.
Cyclophosphamide is associated with pulmonary function and survival benefecit in patients with scleroderma and alveolitis.
Ann Intern Med, 132 (2000), pp. 947-954
[8.]
R.M. Silver, J.H. Warrick, M.B. Kinsella, et al.
Cyclophosphamide and low dose prednisona therapy in patients with systemic sclerosis with intersticial lung disease.
J Rheumatol, 20 (1993), pp. 838-844
[9.]
E.M. Davas, C. Peppas, M. Maragau, et al.
Intravenous Cyclophosphamide pulse therapy for the treatment of lung disease associated with scleroderma.
Clin Rheumatol, 18 (1999), pp. 455-561
Copyright © 2002. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?