Early assessment of pulmonary involvement in limited scleroderma - A case report

Unsal E., Kilinc O., Kargi A., Necla T.

TURKISH JOURNAL OF PEDIATRICS, no.4, pp.603-608, 1998 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 1998
  • Journal Name: TURKISH JOURNAL OF PEDIATRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.603-608
  • Keywords: limited scleroderma, high resolution computed tomography, 99m Tc-DTPA, MANIFESTATIONS, TOMOGRAPHY, CLEARANCE
  • Dokuz Eylül University Affiliated: Yes

Abstract

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 end 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. 99m technetium diethylenetriamine pentaacetate (99m 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.