Systemic Sclerosis with Focus on Scleroderma Renal Crisis

Authors

  • Farahnaz Pasha 1 Assistant Professor of Nephrology, Department of Internal Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  • Setayesh Abazari Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
  • Pouria Bikarannejad Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  • Amirhossein Zabolian Young Researchers and Elite Club, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran

Abstract

Known as systemic sclerosis (SSc), this autoimmune rheumatic disease has vast pathogenesis on many organs, including kidneys. It can lead to the point where the patient's survival relies entirely on dialysis. This report has basically focused on scleroderma renal crisis (SRC), which is the most serious renal manifestation of SSc, characterized by renal failure and sudden onset of hypertension. A 44-year-old man was hospitalized with hypertension, headache, vertigo, nausea, rhinorrhea, reflux, dysphagia, dyspnea (Fc II), visual impairment, mechanical arthralgia, and edema (+3) accompanied by a rare skin lesion. Raynaud's phenomenon was also remarkable in fingers and toes. According to signs and symptoms, SSc diagnosed and the proper treatment was applied. It is of great importance that in the case of malignant hypertension in patients with scleroderma, renal crisis always be kept in mind.

Author Biographies

  • Farahnaz Pasha, 1 Assistant Professor of Nephrology, Department of Internal Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
    Assistant Professor of Nephrology, Department of Internal Medicine
  • Setayesh Abazari, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
    medical student
  • Pouria Bikarannejad, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
    medical student
  • Amirhossein Zabolian, Young Researchers and Elite Club, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
    medical student(corresponder)

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Published

2019-06-18

Issue

Section

CASE REPORT | Kidney Diseases