title: [Severe cardiac disease in scleroderma].
abstract: A 36 year-old female with a diagnosis of systemic sclerosis suffered from an acute episode of skeletal myositis and refractory heart failure with cardiogenic shock. Despite immunosuppressive treatment with high doses of corticosteroids and hemodynamic support she died five days after admission. The autopsy showed cardiac myocytolysis, myocyte necrosis and contraction band necrosis. There are very few reported cases of severe heart failure associated to systemic sclerosis.
authors.affiliation: Servicio de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Facultad de Medicina, Universidad de Buenos Aires, Argentina. alejandrogrinberg@yahoo.com
authors.forename: Alejandro R
authors.initials: AR
authors.lastname: Grinberg
authors.forename: Diego
authors.initials: D
authors.lastname: Sabate
authors.forename: Judith F
authors.initials: JF
authors.lastname: Sarano
authors.forename: Clarisa L
authors.initials: CL
authors.lastname: Alvarez
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006331:Heart Diseases / Q000209:etiology* / Q000473:pathology; D006801:Humans; D009336:Necrosis; D012595:Scleroderma, Systemic / Q000150:complications* / Q000473:pathology; D012770:Shock, Cardiogenic / Q000209:etiology