Lung findings are characteristic of NSIP with peripheral reticulations, subpleural sparing and bronchiectasis
Esophagus is dilated
Calcinosis at T2 -T3
Was not there on prior study
Heart OK Hands OK No PA hypertension
Association with CAD?
“Patients with systemic inflammatory conditions such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) have been shown to develop premature and accelerated atherosclerosis [1,2], but it remains unclear whether this occurs in systemic sclerosis (SSc)”
Association with Calcific Aortic Stenosis ?
Premature onset is described see Fields
SCLERODERMA, NSIP , CALCINOSIS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING SCLERODERMA, NSIP , CALCINOSIS HANDS NORMAL Ashley Davidoff MD
SCLERODERMA, NSIP , CALCINOSIS – DILATED ESOPHAGUS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – PA 27.2 mms DILATED ESOPHAGUS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – CAD DILATED ESOPHAGUS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – CALCIFIC AS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – NORMAL HEART Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC GROUND GLASS, TRACTION BRONCHIECTASIS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING, RETICULATIONS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS -SYMMETRIC GROUND GLASS, TRACTION BRONCHIECTASIS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – MIP AXIAL SHOWS SYMMETRIC BASILAR ILD, SUBPLEURAL SPARING, RETICULATIONS Ashley Davidoff MD SCLERODERMA, NSIP , CALCINOSIS – SCLERODERMA, NSIP , CALCINOSIS –
Links and References
Fields , A et al Premature Onset Aortic Valve Stenosis May Be Another End-Organ Complication Of Limited Scleroderma ATS journals
A et al Calcinosis is associated with digital ulcers and osteoporosis in patients with systemic sclerosis: A Scleroderma Clinical Trials Consortium study Semin Arthritis Rheum. 2016 Dec; 46(3): 344–349.
Published online 2016 Jun 2
