By Richard M. Silver (auth.), Richard M. Silver, Christopher P. Denton (eds.)
Case stories in Systemic Sclerosis bargains in particular with Systemic Sclerosis in a case examine structure. each one case presentation comprises illustrative figures, a dialogue of the pathophysiology appropriate to the case, a dialogue of administration that's either evidence-based and specialist opinion-based and a number of other key references for additional studying. With its easy-to-use structure, this booklet offers a number of various manifestations of Systemic Sclerosis to quite a lot of readers. simply because this ailment has a extensive variety of systemic beneficial properties, Case stories in Systemic Sclerosis is a necessary reference instrument not just to the neighborhood of rheumatologists (trainees, educational and personal perform rheumatologists) and dermatologists, but additionally very likely to internists, gastroenterologists, pulmonologists, cardiologists and nephrologists.
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Additional resources for Case Studies in Systemic Sclerosis
Each pattern is associated with particular clinical features and these associations are helpful for management. The associations are summarized together with representative immunofluorescence staining pattern for anti-RNA polymerase III as demonstrated in the clinical case described (Immunofluorescence image kindly provided by Dr Chris Bunn, Royal Free Hospital) All cases receive careful education and support from our nursing staff, and patient organizations perform invaluable work supporting patients and their families through a disease that most have never heard of when the diagnosis is made.
Autoantibodies and microvascular damage are independent predictive factors for the progression of Raynaud’s phenomenon to systemic sclerosis: a twenty-year prospective study of 586 patients, with validation of proposed criteria for early systemic sclerosis. Arthritis Rheum. 2008;58:3902-3912. Anderson ME, Moore TL, Lunt M, Herrick AL. The ‘distal-dorsal difference’: a thermographic parameter by which to differentiate between primary and secondary Raynaud’s phenomenon. Rheumatology. 2007;46:533-538.
As a validated outcome measure the MRSS has limitations, the most important being that improvement can occur spontaneously in a substantial number of cases. This has confounded many clinical trials of drugs studied for the treatment of SSc. Detailed analysis of skin score trajectory in early dSSc has confirmed the poor prognosis for cases that are severe and fail to improve. P. 2 Determination of the 17-site modified Rodnan skin score (MRSS). The most widely used assessment tool for skin sclerosis is the MRSS.
Case Studies in Systemic Sclerosis by Richard M. Silver (auth.), Richard M. Silver, Christopher P. Denton (eds.)