Atypical gastroesophageal complications arising from systemic sclerosis: a case report / Atypical gastroesophageal complications arising from systemic sclerosis: a case report

Authors

  • Gabriela Duarte Pires Brazilian Journals Publicações de Periódicos, São José dos Pinhais, Paraná
  • Raquel Valentina Irineu Caleffi Magro
  • Severino Correia do Prado Neto
  • Neire Moura de Gouveia

DOI:

https://doi.org/10.34117/bjdv7n2-537

Keywords:

systemic sclerosis, esophagopathy, hypertonia, esophageal aperistalsis

Abstract

Systemic sclerosis may be defined as an autoimmune connective tissue disease that is extremely heterogeneous in its clinical presentation, affecting several other organs or systems and following a variable and unpredictable course. The gastrointestinal tract is the second most commonly involved system after the skin and the most common manifestations are decreased esophageal motility, lower esophageal sphincter hypotonia, and gastroesophageal reflux disease. However, in this report, we present a case about a patient with atypical manifestations such as upper esophageal sphincter hypertonia and aperistalsis of the esophageal body. Owing to the diverse clinical manifestations, recognizing the disease can be difficult; therefore, it is a diagnostic challenge within the field of autoimmune rheumatic diseases. Through this case report, we aim to add more information about the disease and its complications and reinforce the need for early diagnosis and a therapeutic plan to improve the quality of life of patients with this disease.

 

 

References

- Horimoto AMC, Matos ENN, Costa MR da, Takahashi F, Rezende MC, Kanomata LB et al. Incidência e prevalência de esclerose sistêmica em Campo Grande, Estado de Mato Grosso do Sul, Brasil. Rev. Bras. Reumatol. [Internet]. 2017 Apr [cited 2020 Nov 12]; 57 (2): 107-114. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042017000200107&lng=en. https://doi.org/10.1016/j.rbre.2016.09.005.

- Markus, J. A motilidade esofágica na esclerose sistêmica e suas relações com as alterações cutâneas e pulmonares. https://repositorio.ufu.br/bitstream/123456789/21422/11/MotilidadeEsofagicaEsclerose.pdf (2017). Accessed 20 out 2020.

- Guidolin F, Esmanhotto L, Magro CE, Silva MB, Skare TL. Prevalence of cutaneous findings in systemic sclerosis patients: experience of a teaching hospital. An. Bras. Dermatol. [Internet]. 2005 Oct [cited 2020 Nov 12]; 80 (5): 481-486. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962005000600005&lng=en. https://doi.org/10.1590/S0365-05962005000600005.

- Zimmermann AF, Pizzichini MMM. Atualização na etiopatogênese da esclerose sistêmica. Rev. Bras. Reumatol. [Internet]. 2013 Dec [cited 2020 Nov 12]; 53 (6): 516-524. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042013000600010&lng=en. https://doi.org/10.1016/j.rbr.2013.01.001.

- MINISTÉRIO DA SAÚDE. PORTARIA CONJUNTA Nº 09, DE 28 DE AGOSTO DE 2017. Aprova o Protocolo Clínico e Diretrizes Terapêuticas da Esclerose Sistêmica. Disponível em: http://conitec.gov.br/images/Protocolos/PCDT-Esclerose-Sistemica.05-09-2017.pdf. Accessed 20 out 2020.

- Bellando-Randone S, Matucci-Cerinic M. Very early systemic sclerosis. Best Pract Res Clin Rheumatol. 2019Aug;33(4):101428. doi: 10.1016/j.berh.2019.101428.

- Minier T, Guiducci S, Bellando-Randone S, Bruni C, Lepri G, Czirják L, Distler O, Walker UA, Fransen J, Allanore Y, Denton C, Cutolo M, Tyndall A, Müller-Ladner U, Matucci-Cerinic M, Preliminary analysis of the Very Early Diagnosis of Systemic Sclerosis (VEDOSS) EUSTAR multicentre study: evidence for puffy fingers as a pivotal sign for suspicion of systemic sclerosis. Ann Rheum Dis. 2014;73(12):2087–2093.

- Lock G, Holstege A, Lang B, Schölmerich J. Gastrointestinal manifestations of progressive systemic sclerosis. Am J Gastroenterol.1997;92:763–771.

- Real A, Lopes C, Almeida I, Marinho A, Vasconcelos C. Envolvimento Gastrointestinal na Esclerose Sistémica. Galicia Clin 2018; 79 (1): 12-18

- Freire EAM, Ciconelli RM, Sampaio-Barros PD. Análise dos critérios diagnósticos, de classificação, atividade e gravidade de doença na esclerose sistêmica. Rev. Bras. Reumatol. [Internet]. 2004 Feb [cited 2020 Nov 12]; 44 (1): 40-45. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042004000100008&lng=en. https://doi.org/10.1590/S0482-50042004000100008.

- Chacon ABS, Melo FM, Carvalho SCR de, Luna Filho A, Bandeira CH, Fonseca Neto OCL da. Manifestação esofágica atípica na esclerose sistêmica difusa: relato de caso. GED gastroenterol. endosc. dig. 2016; 35(2): 59-62.

Miller JB, Gandhi N, Clarke J, McMahan Z. Gastrointestinal involvement in systemic sclerosis. J Clin Rheumatol.2018;24(6):328–337. doi:10.1097/rhu.0000000000000626 https://pubmed.ncbi.nlm.nih.gov/29095721/

- Gasparetto Emerson L., Pimenta Rodrigo, Inoue César, Ono Sérgio E., Escuissato Dante L.. Esclerose sistêmica progressiva: aspectos na tomografia computadorizada de alta resolução. Radiol Bras [Internet]. 2005 Sep [cited 2021 Jan 05]; 38( 5 ): 329-332. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842005000500004&lng=en. https://doi.org/10.1590/S0100-39842005000500004

?

Published

2021-02-24

How to Cite

Pires, G. D., Magro, R. V. I. C., Neto, S. C. do P., & de Gouveia, N. M. (2021). Atypical gastroesophageal complications arising from systemic sclerosis: a case report / Atypical gastroesophageal complications arising from systemic sclerosis: a case report. Brazilian Journal of Development, 7(2), 19412–19420. https://doi.org/10.34117/bjdv7n2-537

Issue

Section

Original Papers