title: Pulmonary Disease Secondary to Reflux Mimicking Interstitial Pneumonia in Systemic Sclerosis: Case Report and Literature Review.
abstract: Systemic sclerosis is a complex disease due to the variety of clinical presentations, often superimposed on other conditions, related or not to the connective tissue. We report a 43-year-old Brazilian woman with limited systemic sclerosis and pulmonary symptoms secondary to gastroesophageal reflux disease, with a clinical presentation similar to a diffuse interstitial lung disease. Because of the frequency of interstitial lung injury due to systemic sclerosis, this was an important differential diagnosis, which could be excluded after optimized treatment of reflux disease, with clinical and radiological improvement. Clinical management of patients with collagen diseases requires clinician skills to identify the natural history and understand its nuances. This is a common situation in clinical practice, but with a few discussions in international literature.
authors.affiliation: Department of Rheumatology, Hospital Universitário Antônio Pedro (HUAP), Universidade Federal Fluminense (UFF), Rua Marquês de Paraná 303, 7° Andar, Centro, 24033-900 Niterói, RJ, Brazil.
authors.forename: Ricardo Azêdo de Luca
authors.initials: RA
authors.lastname: Montes
authors.affiliation: Department of Internal Medicine, Hospital Universitário Antônio Pedro (HUAP), Universidade Federal Fluminense (UFF), Rua Marquês de Paraná 303, 7° Andar, Centro, 24033-900 Niterói, RJ, Brazil.
authors.forename: Nathalia
authors.initials: N
authors.lastname: Mazolli Veiga
authors.affiliation: Department of Internal Medicine, Hospital Universitário Antônio Pedro (HUAP), Universidade Federal Fluminense (UFF), Rua Marquês de Paraná 303, 7° Andar, Centro, 24033-900 Niterói, RJ, Brazil.
authors.forename: Pedro Gemal
authors.initials: PG
authors.lastname: Lanzieri
authors.affiliation: Department of Internal Medicine, Hospital Universitário Antônio Pedro (HUAP), Universidade Federal Fluminense (UFF), Rua Marquês de Paraná 303, 7° Andar, Centro, 24033-900 Niterói, RJ, Brazil.
authors.forename: Luis Otávio Cardoso
authors.initials: LO
authors.lastname: Mocarzel