Prevalence of cutaneous findings in systemic sclerosis patients - Experience of a teaching hospital Prevalência de achados cutâneos em portadores de esclerose sistêmica - Experiência de um hospital universitário

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Data de publicação
2005
Periódico
Anais Brasileiros de Dermatologia
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7
Autores
Guidolin F.
Esmanhotto L.
Magro C.E.
Barreto Silva M.
Skare T.L.
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BACKGROUND - Systemic sclerosis or scleroderma is a rare collagen disease presenting several cutaneous manifestations. OBJECTIVE - To study the prevalence of cutaneous manifestations in systemic sclerosis and its subtypes (limited form, diffuse form and overlap syndrome). METHODS - We studied 32 patients with scleroderma (20 with the limited form; 8 with the diffuse form and 4 with overlap syndrome) considering skin sclerosis, Raynaud's phenomenon, digital scars, telangiectasia, leucomelanoderma (pigmentary changes), microstomy, calcinosis and pruritus. RESULTS - We found skin sclerosis and Raynaud's phenomenon in 100% of patients, digital scars in 65.6%, telangiectasia in 43.7% pigmentary changes in 43.7% microstomy in 31.25% pruritus in 28.1% and calcinosis in 12.5%. No statistically significant differences were observed in the limited and diffuse forms of scleroderma (p = 1.0 for digital scars; p = 0.69 for teleangiectasis; p = 0.22 for microstomy; p = 1.0 for calcinosis and pruritus). The overlap syndrome was not different from the isolated forms (limited and diffuse) of systemic sclerosis. CONCLUSION - The most common skin manifestations in scleroderma are skin sclerosis and Raynaud's phenomenon and calcinosis is the rarest. The other cutaneous manifestations presented similar frequency in all subtypes of scleroderma. ©2005 by Anais Brasileiros de Dermatologia.
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