Volume : VII, Issue : IX, September - 2017

STEROID RESPONSIVE SICK SINUS SYNDROME IN LIMITED CUTANEOUS SYSTEMIC SCLEROSIS

Dr. Shanmugesh, Dr. Vaishnavi, Dr. Sudagar Singh

Abstract :

 We report a  south–asian woman with skin thickening limited to her hands and a pulse rate of 56 per minute which lead to a diagnosis of sick sinus syndrome with possible limited systemic sclerosis. Observation of moderate thrombocytopenia resulted in evaluation with autoimmune antibodies. She was found positive for anti–nuclear antibody and anti–centromere antibody. Echocardiography showed moderate pulmonary artery hypertension. Treatment with low dose oral gluco–corticoids  resulted in restoration of sinus rhythm. Cardiac involvement in limited cutaneous systemic sclerosis is very rare and clinically silent. It  often remains undiagnosed until heart failure supervenes. This case illustrated the possible benefit of systemic steroids in sick sinus syndrome associated with limited form of systemic sclerosis.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.SHANMUGESH, Dr.VAISHNAVI, Dr.SUDAGAR SINGH, STEROID RESPONSIVE SICK SINUS SYNDROME IN LIMITED CUTANEOUS SYSTEMIC SCLEROSIS, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017

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