[Skin manifestation in systemic sclerosis].
OBJECTIVE
To assess cutaneous manifestations in a population of patients with systemic sclerosis (SSc).


METHODS
The study population was constituted by 50 patients with a diagnosis of SSc, according to the classification criteria for SSc established by the American College of Rheumatology. According to the criteria proposed by LeRoy and cols., the disease was classified as diffuse SSc, or limited SSc, depending on the extent of skin involvement. Through history and physical exam the following variables were assessed: skin sclerosis, Raynaud's phenomenon, digital pitting scars, ischemic ulcers, telangiectasia, leucomelanoderma, microstomy, calcinosis and pruritus.


RESULTS
In the study population, 88% were women, with a mean age of 52.3+/-12.4 years. Limited SSc was the most frequent subset, being present in 70% of the evaluated patients. We found Raynaud's phenomenon in 100% of the patients, telangiectasia in 94%, leucomelanoderma in 38%, pruritus in 50%, calcinosis in 40%, microstomy in 62%, digital scars in 66% and ischemic ulcers in 58%. The modified Rodnan skin score values ranged from 3 to 32, with a median of 14, and percentile 25 of 9 and percentile 75 of 17.75.


CONCLUSIONS
Cutaneous manifestations are very common in ES, being responsible for important limitations on daily activities and stigmatization of patients.
Bertazzi
Glauce Rejane Leonardi
GR
Professor mestre do Serviço de Reumatologia da Faculdade de Medicina de São José do Rio Preto-SP. glbertazzi@netsite.com.br
de Toledo
Roberto Acayaba
RA
de Godoy
Moacir Fernandes
MF
Geraldino
Geise Cristina
GC
Fernandes
Gisele Cristine Dyonisio
GC
Polizelli
Daniela Vichiato
DV
Pedroso
Camila Lobo
CL
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000150:complications*; D012871:Skin Diseases / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult