Question:
What are the pulmonary clinical manifestations of SSc?
Author: H KAnswer:
Pulmo (progressive dyspnea, chest pain due to pulmo HTN, dry persistent cough restrictive lung disease/ILD, leading cause of M&M in SSc, alveolitis) ILD (diffuse, perform CXR, HRCT or PFT, see thickened interlobular septa, subpleural cysts, honeycombing, micronodules, ectasia, ground glass opacities) PAH (serious and life threat, blood vessels of lung constrict and thicken due to fibrosis, increased resistance lead to HF, we make right heart Cath and cardaic US)
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