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Case Report: A Patient Develops Scleroderma Renal Crisis

Adria Madera-Acosta, MD, Teresa Sosenko, MD, & Diana Girnita, MD, PhD  |  Issue: October 2019  |  October 18, 2019

Conclusion

This is a remarkable case of a relatively healthy 63-year-old woman who was initially diagnosed as having an inflammatory arthritis, but was later found to have systemic sclerosis. Rapid intervention by the rheumatology team and initiation of proper treatment led to an excellent outcome. Fortunately, the patient’s renal function recovered completely and gave this patient a chance to live a normal life. 


Adria Madera-Acosta, MDAdria Madera-Acosta, MD, is a second year resident in internal medicine at Trihealth Physician Partners, Cincinnati.

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Teresa Sosenko, MDTeresa Sosenko, MD, is a first-year rheuma­tology fellow at the University of Illinois College of Medicine.

Diana Girnita, MD, PhDDiana Girnita, MD, PhD, is a rheuma­tologist at Trihealth Physician Partners, Cincinnati, and a faculty attending for the internal medicine residency program at Good Samaritan Hospital, Cincinnati.

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References

  1. Denton CP, Lapadula G, Mouthon L, Müller-Ladner U. Renal complications and scleroderma renal crisis. Rheumatology (Oxford). 2009 Jun;48 Suppl 3:iii32–35.
  2. Abudiab M, Krause ML, Fidler ME, et al. Differentiating scleroderma renal crisis from other causes of thrombotic microangiopathy in a postpartum patient. Clin Nephrol. 2013 Oct;80(4):293–297.
  3. Bhavsar SV, Carmona R. Anti-RNA polymerase III antibodies in the diagnosis of scleroderma renal crisis in the absence of skin disease. J Clin Rheumatol. 2014;20(7):379–382.
  4. Maruyama A, Nagashima T, Ikenoya K, et al. Glucocorticoid-induced normotensive scleroderma renal crisis: A report on two cases and a review of the literature in Japan. Intern Med. 2013;52(16):1833–1837.
  5. Guillevin L, Bérezné A, Seror R, et al. Scleroderma renal crisis: A retrospective multicentre study on 91 patients and 427 controls. Rheumatology (Oxford). 2012;51(3):460-467.

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Filed under:ConditionsSystemic Sclerosis Tagged with:case reportdiffuse systemic sclerosisScleroderma Renal Crisis

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