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Overlap (Ust Uste Binmis) Skleroderma
Ruko: Sistemik Skleroz

Yaygin Skleroderma Nedir?

Bu sayfa Shelley Ensz tarafindan yazilmistir, medically edited by Dolores Vázquez-Abad, M.D., ve Mehmet Kalender tarafindan çevrilmistir. Detaylari gorunuz.
Yaygin Skleroderma Nedir?
Tani
Cilt Tutulumu Olmayan Skleroderma
Dahili Tutulum
References
(English) Yaygin Skleroderma Hastalari & Hastabakicilari Hikayeleri

Yaygin Skleroderma Nedir?

Turkish Kal-4 by Shelley EnszYaygin Sistemik Skleroderma ayrica : Scleroderma (SD), Diffuse Sclerosis, Diffuse Scleroderma, Diffuse Cutaneous Scleroderma, Systemic Sclerosis (SSc), Progressive Systemic Sclerosis (PSS) seklinde de anilir.

Ayrica sklerodermasiz skleroderma da bu gruba dahil,ve Ilerleyici Ailevi Sistemik Sklerozisde yaygin sklerodermanin alt grubudur. (FPSS).

Tani

Yaygin Skleroderma tanisi (proximal) sozu edilen yere en yakin noktadaki cildin sikilasmasi ile konur. Hastalarin ciltlerinde ki gerginlesen alan dirsekleri ve bilekleri arasinda olmaliki Proximal kriterine uygun olsun. Proximal teriminden bahsederken referans olarak alinacak iki ayri tanimlama vardir.

1. The American College of Rheumatology proximal cilt gerginligini el bileginin ustunde ki kisim olarak tarif eder.(1)

2. Dr. LeRoy proximal cilt gerginligini dirsekten yukarisi olarak ifade eder. Avrupalilar ve A.B.Dde bircok merkez bu tanimlamayi kullanmakta.(2)

Bu yuzden, cilt gerginligi el bilegi ile dirsegi arasinda olan bir kisi hastaliginin yaygin mi sinirli(limited) oldugu sadece doktorunun kullandigi tanima bagli olacaktir.

Teshis klinik bulgulara baglidir, her hangi bir laboratuar testine ya da daha baska ozel bir teste ihtiyac yoktur.

Cilt Tutulumu Olmayan Skleroderma

Bazen yaygin skleroderma deriyi ve eklemleri tutmaz, ve sadece sindirim sistemini ve/ veya bazi ic organlari tutar. Belirgin cilt tutulumu olmayan sklerodermaya, "Scleroderma sans Scleroderma," tanisi konur, bu basitce cilt tutulumu olmayan skleroderma demektir.

Scleroderma sans Sclerodermada, Raynaud's fenomeni gorulemeyebilir. Genel gorunum akcigerlerde fibrozis ve/veya Skleroderma Bobrek Krizleri ve/veya kalp hastaligi ve/veya sindirim sistemi hastaligi ile belirgindir.. Antinuclear antibadiler (ANA) bazen (ama sart degil) bulunabilir (Scl-70, ACA.)

Dahili Tutulum

Yaygin sistemik sklorederma dahili hasar verir. Bu durumda cilt, akcigerler, kalp, bobrekler, ve tum sindirim sistemi etkilenir. Scleroderma Symptoms and Treatments. A bakiniz.

Ä°lerleme

Yaygin Sistemik Sklerozis hastalarinin yaklasik %95 inde zellikle eller, kollar, ve yzler olmak uzere ciltte sikilasma, kalinlasma gorulur. Bu fibroz yara kabugu yapiminin artamasina baglidir. Yaygin cilt tutulumu olan hastalarin ic organlarinda ki hasar cilt tutulumu az olanlara nispeten daha fazladir.

Genellikle,parmak uclarindaki deri ilk sikilasir, sonra parmaklara, ellere, on kola ve tum kola ilerler. Zamanla kollardaki deri kalinlasir, uyluklarda ki ve bacaklarda ki deri, bazen de gogus ve karinda ki deri sertlesir. Ciltteki degisimler vucudun her iki tarafinda da gorulur ve simetriktir. Yuz ve boyun cildi de etkilenebilir. Bakiniz Scleroderma Photos.

References

(1) Paper for ACR criteria: Subcommittee for Scleroderma criteria of the American Rheumatism Association diagnostic and therapeutic criteria committee. 1980. Preliminary criteria for the classification of systemic sclerosis (Scleroderma). Arthritis Rheum. 23,581:590.

(2) Paper for LeRoy's criteria: Kahaleh MB, Sultany GL, Loadholt CB, Smith EA, Huffstutter JE, and LeRoy EC. 1986. A modified Scleroderma skin scoring method. Clinical & Experimental Rheumatology.(4):367-369.

Yaygin Skleroderma Hastalari & Hastabakicilari Hikayeleri

Yaygin Skleroderma Hastalari & Hastabakicilari Hikayeleri ISN.

Mehmet Kalender

SWA Global Outreach Excellence AwardThis award from the Scleroderma Webmaster's Association was given to Mehmet Kalender, ISN Turkish Translator, for his excellent global outreach efforts.

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