Freixo Armanda, Abreu Cecília
Unidade de Saúde Familiar (USF) Lethes, Unidade Local de Saúde do Alto Minho, Ponte de Lima, PRT.
Cureus. 2022 Dec 7;14(12):e32291. doi: 10.7759/cureus.32291. eCollection 2022 Dec.
Systemic sclerosis (SSc) is a chronic, rare, and idiopathic disease characterized by the presence of microcirculatory and immune alterations followed by fibrosis. It is clinically heterogeneous and may present a rapid and progressive involvement that leads to disability and death. Over the years, the approach has changed with an increasing focus on early diagnosis. Raynaud's phenomenon (RP) and puffy fingers are "red flags" to refer the patients to rheumatology to detect and start the appropriate treatment of such a rare and complex disease. We present a case of a 75-year-old woman with edema and bright erythema on the back and palm of the hands, telangiectasias of the face, and RP with three years of evolution. The aim of this case is to recall the importance of primary care physicians in recognizing the main clinical manifestations of SSc that are sometimes undervalued.
系统性硬化症（SSc）是一种慢性、罕见的特发性疾病，其特征是存在微循环和免疫改变，随后出现纤维化。它在临床上具有异质性，可能表现为迅速且进行性的病变，导致残疾和死亡。多年来，随着对早期诊断的日益关注，治疗方法发生了变化。雷诺现象（RP）和手指肿胀是将患者转诊至风湿病科以检测并开始针对这种罕见且复杂疾病进行适当治疗的“警示信号”。我们报告一例75岁女性病例，其手背和手掌出现水肿及鲜红色红斑、面部有毛细血管扩张，且患有病程达三年的RP。该病例的目的是提醒基层医疗医生认识到SSc的主要临床表现的重要性，而这些表现有时会被低估。
