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Scleroderma (Types (DIFFUSE cutaneous scleroderma (Organs (Heart, lung,…

- - - - Heart, lung, GI , kidney
  - - - Calcinosis
        
        Ca++ deposit
        in soft tissues
      - Raynaud’s syndrome
      - Esophageal dysmotility
      - Sclerodactyly
      - Telangiectasis
- - - - Phenomenon — Vasospasm
      - Trigger :pencil2: COLD ,Emotion
      - Tx
        
        Rewarming :hotsprings:
        
        CCB (NIfedipine)
        
        Biofeedback and EMG
      - Causes :!:
        
        Beta blockers :no_entry:, Ergots, Cisplatin
        
        Vessel dz
        
        ARTERIAL Occlusive dz
        
        Collagen Vascular dz
        
        RA, SLE, PM/DM, PSS
      - Fingertips :check:
        Ischemia, ulceration