Anasthesia and scleroderma

ANASTHESIA FOR SIMULTANEOUS BILATERAL NEPHRECTOMY LEONArm

BILATERAL SIMULTANEOUS NEPHRECTOMY is a important surgical procedure prior to renal transplant. Any anaesthetist may be asked to anaesthetize for this operation, as these procedures may be carried out in centres other than those where the renal transplant may be performed at a later date The anaesthetic problems in bilateral nephrectomy are not unlike those associated with renal transplantation...

Scleroderma with Nodular Scleroderma

BACKGROUND Nodular scleroderma is a rare variant of scleroderma which can occur in connection with systemic sclerosis or morphea. A biopsy from the lesion can demonstrate the scleroderma pattern, i.e., keloid pattern or mixed type. Treatment is challenging, and several treatments modalities have been reported with unsatisfactory results. MAIN OBSERVATIONS We present a case of systemic scleros...

When is scleroderma really scleroderma?

Scleroderma.

The prototypic autoimmune diseases involving skin (lupus, dermatomyositis) typically result in epithelial injury and autoantibodies to characteristic cellular antigens. Disease-specific autoantibodies are also found in scleroderma, but scleroderma is different from other cutaneous autoimmune diseases because epithelial injury does not occur. Multiple factors and combinations of factors (immune ...

Scleroderma and portal hypertension.

Examination There was anaemia, and widespread telangiectases were particularly evident on the lips. Calcific nodules were prominent over the fingers and extended into the forearms. There were numerous spider naevi. There was no jaundice and no hepatic foetor. The spleen was palpable 4 cm. below the left costal margin and the liver edge extended to 8 cm. below the right costal margin. The blood ...