Guidry G G, Baethge B A, Payne D K, Grafton W D
Dept of Internal Medicine, LSUMC, Shreveport 71130-3932.
J La State Med Soc. 1990 Sep;142(9):33-6.
We report a patient who developed pulmonary fibrosis before the appearance of cutaneous scleroderma. This unusual clinical presentation has been infrequently reported in the English literature. Recognition that pulmonary disease may occur before extensive skin changes in scleroderma is important to ensure proper management.
