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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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