001Lu Scleroderma | The Common Vein

Lung findings are characteristic of NSIP with peripheral reticulations, subpleural sparing and bronchiectasis

Esophagus is dilated

Calcinosis at T2 -T3

Was not there on prior study

Heart OK Hands OK No PA hypertension

Association with CAD?

“Patients with systemic inflammatory conditions such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) have been shown to develop premature and accelerated atherosclerosis [1,2], but it remains unclear whether this occurs in systemic sclerosis (SSc)”

Association with Calcific Aortic Stenosis ?

Premature onset is described see Fields

SCLERODERMA, NSIP , CALCINOSIS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING
Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS HANDS NORMAL Ashley Davidoff MD

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SCLERODERMA, NSIP , CALCINOSIS – DILATED ESOPHAGUS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS – PA 27.2 mms DILATED ESOPHAGUS Ashley Davidoff MD

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SCLERODERMA, NSIP , CALCINOSIS – CAD DILATED ESOPHAGUS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS – CALCIFIC AS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS – NORMAL HEART Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC GROUND GLASS, TRACTION BRONCHIECTASIS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING, RETICULATIONS Ashley Davidoff MD

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SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC GROUND GLASS, TRACTION BRONCHIECTASIS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS – MIP AXIAL SHOWS SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING, RETICULATIONS Ashley Davidoff MD

SCLERODERMA, NSIP , CALCINOSIS –
T2-T3 CALCINOSIS
Ashley Davidoff MD

Links and References

Fields , A et al Premature Onset Aortic Valve Stenosis May Be Another End-Organ Complication Of Limited Scleroderma ATS journals

Valenzuela A et al Calcinosis is associated with digital ulcers and osteoporosis in patients with systemic sclerosis: A Scleroderma Clinical Trials Consortium study Semin Arthritis Rheum. 2016 Dec; 46(3): 344?349.

Published online 2016 Jun 2

Antonia,

TCV

Scleroderma Introduction
- Scleroderma Cases

NSIP