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Dumitru Denisa-SimonaVoicu Gabriela

Grupa 34Coordonator: Dr. Borangiu Andreea

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M.D. , 54 ani

Artralgii la nivelul articulatiilor mici ale mainilor

Ulceratii ischemice degete II , III mana dreapta si degetul II mana stanga

Disfagie pentru solide

Sindrom Raynaud la nivelul mainilor

Dispnee la eforturi moderate

Se preenta in clinica prima data pentru accentuarea fen. Raynaud si ulceratii

digitale agravate in ultimele ! saptamani

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A**

Scleroa sistemica cu afectare cutanatalimitataDisfunctie ventilatorie restrictivaSd. Raynaud+steopenie

astroduodenita-iroa pulmonara"ipercolesterolemie

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fen. Raynaud la temperaturi scauteartite articulatii mici ale mainilor

initial tratament cortionic intermitent

DEBUT :2005

DIAGNOSTIC :2005

SCLEROZA SISTEMICA CUAFECTARE CUTANATA LIMITATA

ULCERATII DIGITALE

VASCULAR-SD. RAYNAUD

DIGESTIV-RGE

DISFAGIE SOLIDE

ANTC!"#ANT SC$ %& '

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6

&ratament alternant % Medrol

*rednison

#olchicina/ ani % 0etoprofen

Ultima cria% in urma cu o luna

#ontrol anual la *loiesti

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()DCAT) D)

*!ND

PENTOXIFILIN 400 mg!"#$%

VITAMINA E !"#$%

ASPENTER &5 mg#$%

ALP'A D( 0)5 mg 2!"#$%

PIASCLEDINE !"#$%

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Inspectie%

-acies icoanaiantina

1as efilat *liuri radiale periorale

si microstoma

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Ulceratii si cicatrici inmuscatura de soarece lanivelul falangelor distaleale degetelor

Indurare tegumentara

Sclerodactilie

Depigmentare la nivelulgatului

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ULCERATII DIGITALE

'IPERPIGMENTARE

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SIS&2MU3 +S&2+AR&I#U3AR

#racmente la moiliarea genunchilor

Scurtarea falangei distale deget II

Dureri la palparea artculatiilor mici alemainilor

-ara artrite in momentul eaminarii

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(AGSTC

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2#+RA-I2 3A1DA &IR+IDA1odul unic

S*IR+M2&RIADisfunctie ventilatorie restrictiva usoara

2co$cord% cavitati de dimensiuni normaleAS //56 , )S 44!7, )D !7, AD /8

-unctie sistolica gloala normala

-unctie diastolica normala

)M$regurgitare mitrala grad I

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&2S& 9 minute%

inainte Sa+!:;7%+, 6+,,/6"%,% >%*+*g%!, 63 63 6*!%6 **=%!%6, /,76+6 !/,!36.

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