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Research ArticleOriginal Article
Open Access

Clinical features of systemic sclerosis

Riyadh N. Al-Adhadh and Talal A. Al-Sayed
Saudi Medical Journal April 2001, 22 (4) 333-336;
Riyadh N. Al-Adhadh
Al-Kindy Teaching Hospital, Aadamiah Hay Al-Magreb, Mahala 306, Street 17 No. 5, Baghdad, Iraq.
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Talal A. Al-Sayed
Baghdad Teaching Hospital, Baghdad, Iraq.
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Abstract

OBJECTIVE: This descriptive study was carried out to determine the clinical and epidemiological pattern of systemic sclerosis in Iraqi patients who prove to have the disease.

METHODS: Between March 1997 and December 1999, 75 patients, 67 females and 8 males, were studied at 2 teaching hospitals in Baghdad, Iraq. The diagnosis of the disease was based on clinical findings, biochemical, serological, and pulmonary function tests.

RESULTS: All the patients had Raynaud's phenomenon, 72 (96%) had arthralgia, 65 (87%) had dysphagia, 62 (83%) had atrophic changes or hypo/hyperpigmentation, 43 (58%) had telangiectasia, and 3 (4%) had subcutaneous calcification. Of the patients studied, 2 patients (3%) had hypertension, one had severe hypertension. Twenty-three patients (31%) had anemia, 58 (77%) had elevated erythrocyte sedimentation rate and 7 patients (9%) with renal impairment. Rheumatoid factor was positive in 17 patients (23%) and antinuclear antibody in 50 (67%). Abnormal chest x-ray was reported in 50 patients (67%). Pulmonary function tests showed restrictive pattern in 53 (71%) patients and obstructive pattern in 3 (4%). Electrocardiogram changes were seen in 3 (4%) of the patients. Three juvenile cases were reported, and familial tendency was noted in one patient. The results were compared with other studies and there were interesting differences and similarities.

CONCLUSION: Systemic sclerosis is a rare disease in Iraq, nevertheless sporadic cases at a peak age of 20-40 years were reported. Generally the clinical picture was comparable to other studies, however Raynaud's phenomenon is more prevalent in our patients and antinuclear antibody is less common.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (4)
Saudi Medical Journal
Vol. 22, Issue 4
1 Apr 2001
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Clinical features of systemic sclerosis
Riyadh N. Al-Adhadh, Talal A. Al-Sayed
Saudi Medical Journal Apr 2001, 22 (4) 333-336;

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Clinical features of systemic sclerosis
Riyadh N. Al-Adhadh, Talal A. Al-Sayed
Saudi Medical Journal Apr 2001, 22 (4) 333-336;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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