Diffuse Systemic Sclerosis with Left Ventricular Diastolic Dysfunction: A Case Report

  • Asmita Neupane Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Prabesh Luintel Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
  • Subodh Sagar Dhakal Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords: connective tissue disease; immune-mediated; rheumatic disease; scleroderma; systemic sclerosis.

Abstract

Systemic sclerosis is a connective tissue disease characterized by wide-spread vascular lesions
and fibrosis of the skin and internal organs. It is an immune mediated rheumatic disease with the
presence of an immunological dysfunction of T lymphocytes, especially Th1 and Th17 subtypes. It
affects gastrointestinal, pulmonary, vascular, musculoskeletal, cardiac and various other systems.
This disease is rare but has high morbidity and mortality with less known effective management. We
report a case of 70-year-old female with systemic sclerosis presented with pain along with swelling
over multiple joints since 18 months which exacerbated since last 6 months and wound over finger
tips since last 2 weeks. We present here other various signs, investigations and management of this
uncommon disease systemic sclerosis, also known as scleroderma. Various systems are evident to
be involved including cardiac (left ventricular diastolic dysfunction) and peripheral vascular system
(Raynaud’s phenomenon).

Published
2019-12-31
How to Cite
Neupane, A., Luintel, P., & Dhakal, S. S. (2019). Diffuse Systemic Sclerosis with Left Ventricular Diastolic Dysfunction: A Case Report. Journal of Nepal Medical Association, 57(220). https://doi.org/10.31729/jnma.4768
Section
Case Reports