title: Pulmonary fibrosis as the initial manifestation of scleroderma.
abstract: 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.
authors.affiliation: Dept of Internal Medicine, LSUMC, Shreveport 71130-3932.
authors.forename: G G
authors.initials: GG
authors.lastname: Guidry
authors.forename: B A
authors.initials: BA
authors.lastname: Baethge
authors.forename: D K
authors.initials: DK
authors.lastname: Payne
authors.forename: W D
authors.initials: WD
authors.lastname: Grafton
mesh_terms: D001706:Biopsy; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008875:Middle Aged; D011658:Pulmonary Fibrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011859:Radiography; D012594:Scleroderma, Localized / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D013997:Time Factors