ANESTHETIC MANAGEMENT OF PATIENT WITH SYSTEMIC SCLERODERMA SCHEDULED FOR RIGHT LOWER LOBE RESECTION OF THE LUNG
Journal
Macedonian Journal of Anaesthesia
Date Issued
2020-04
Author(s)
Trposka Poposka A.
Abstract
Progressive systemic sclerosis (PSS) or scleroderma is rare progressive fibrotic disorder
of the connective tissue. Together with the connective tissue changes, atrophy of the skin, the
involvement of various internal visceral organs may be present in these patients, as well. Not
rarely, involvement of the alimentary tract, lungs, heart, kidney, CNS, the presence of the autoantibodies, collagen deposition on different body parts, together with the possible profound
vascular hypersensitivity, are reported separately and in combination as possible anesthesiology
challenges, sometimes even reported with detrimental outcome. We present a case of a successful
anesthesiology management of a patient with PSS undergoing thoracic surgery and we discuss
facts from the literature about this disease’s issues and anesthesi
of the connective tissue. Together with the connective tissue changes, atrophy of the skin, the
involvement of various internal visceral organs may be present in these patients, as well. Not
rarely, involvement of the alimentary tract, lungs, heart, kidney, CNS, the presence of the autoantibodies, collagen deposition on different body parts, together with the possible profound
vascular hypersensitivity, are reported separately and in combination as possible anesthesiology
challenges, sometimes even reported with detrimental outcome. We present a case of a successful
anesthesiology management of a patient with PSS undergoing thoracic surgery and we discuss
facts from the literature about this disease’s issues and anesthesi
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