Early assessment of pulmonary involvement in limited scleroderma. A case report
Limited scleroderma is typified by insidious progression of skin involvement. The onset of internal organ involvement is delayed until the second decade, the lungs being the most important from the prognostic point of view. Early detection of pulmonary lesions is of paramount importance. This...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
1998-10-01
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| Series: | The Turkish Journal of Pediatrics |
| Online Access: | https://turkjpediatr.org/article/view/3355 |
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| author | E Unsal O Kilinç A Kargi T Necla |
| author_facet | E Unsal O Kilinç A Kargi T Necla |
| author_sort | E Unsal |
| collection | DOAJ |
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Limited scleroderma is typified by insidious progression of skin involvement. The onset of internal organ involvement is delayed until the second decade, the lungs being the most important from the prognostic point of view. Early detection of pulmonary lesions is of paramount importance. This paper presents a 16-year-old male patient with a history of Raynaud's phenomenon followed by progressive tightening of skin over the fingers, hands and face. He had early pulmonary involvement detected by high resolution computed tomography (HRCT) and proven by histopathologic examination as usual interstitial pneumonia; even the chest x-ray and pulmonary function tests were normal. A combination of prednisolone and D-penicillamine was planned for treatment because of his having both pulmonary and gastrointestinal system involvement. 99 m technetium diethylenetriamine pentaacetate (99 m Tc-DTPA) test is very sensitive for pulmonary lesions and it has shown a rapid clearance in the early stage. This method is also useful for following up the therapeutic trial.
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| format | Article |
| id | doaj-art-5cfc52aa84c94af381febdc3f96b590b |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 1998-10-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-5cfc52aa84c94af381febdc3f96b590b2025-08-20T02:58:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64211998-10-01404Early assessment of pulmonary involvement in limited scleroderma. A case reportE Unsal0O KilinçA KargiT NeclaDepartment of Pediatrics, Dokuz Eylül University Faculty of Medicine, Izmir. Limited scleroderma is typified by insidious progression of skin involvement. The onset of internal organ involvement is delayed until the second decade, the lungs being the most important from the prognostic point of view. Early detection of pulmonary lesions is of paramount importance. This paper presents a 16-year-old male patient with a history of Raynaud's phenomenon followed by progressive tightening of skin over the fingers, hands and face. He had early pulmonary involvement detected by high resolution computed tomography (HRCT) and proven by histopathologic examination as usual interstitial pneumonia; even the chest x-ray and pulmonary function tests were normal. A combination of prednisolone and D-penicillamine was planned for treatment because of his having both pulmonary and gastrointestinal system involvement. 99 m technetium diethylenetriamine pentaacetate (99 m Tc-DTPA) test is very sensitive for pulmonary lesions and it has shown a rapid clearance in the early stage. This method is also useful for following up the therapeutic trial. https://turkjpediatr.org/article/view/3355 |
| spellingShingle | E Unsal O Kilinç A Kargi T Necla Early assessment of pulmonary involvement in limited scleroderma. A case report The Turkish Journal of Pediatrics |
| title | Early assessment of pulmonary involvement in limited scleroderma. A case report |
| title_full | Early assessment of pulmonary involvement in limited scleroderma. A case report |
| title_fullStr | Early assessment of pulmonary involvement in limited scleroderma. A case report |
| title_full_unstemmed | Early assessment of pulmonary involvement in limited scleroderma. A case report |
| title_short | Early assessment of pulmonary involvement in limited scleroderma. A case report |
| title_sort | early assessment of pulmonary involvement in limited scleroderma a case report |
| url | https://turkjpediatr.org/article/view/3355 |
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