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


Ashley Davidoff MD

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





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

T2-T3 CALCINOSIS
Ashley Davidoff MD

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