title: Manifestations of systemic sclerosis necessitate a holistic approach to patient care: a case report.
abstract: This case describes a young woman with manifestations of systemic sclerosis in multiple organ systems and her guidance through two successful pregnancies. This case emphasizes that patients with severe diseases are not just clinical cases; they each have unique needs and concerns beyond the physical manifestations of their disease. Young patients can be a particular challenge due to their need for independence. Communication is the key. Textbook advice in this case was that the risks posed by pregnancy were too great; however, a holistic approach, including frank discussion and much practical support, enabled the patient to make informed choices about her life, with a successful outcome.
authors.affiliation: University Hospital Aintree, University of Liverpool, Liverpool, UK. rjmoots@liv.ac.uk
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Moots
mesh_terms: D000328:Adult; D015510:Clinical Medicine / Q000379:methods*; D005260:Female; D006694:Holistic Health; D006801:Humans; D005791:Patient Care / Q000379:methods*; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D012595:Scleroderma, Systemic / Q000628:therapy*