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Chronic Q fever associated with Systemic Sclerosis (SSc). Chronic Q fever preceding SSc was associated with a milder course of SSc without the necessity of immunosuppressive drugs, while chronic Q fever development due to immunocompromised state was associated with a more deteriorating course of SSc. PubMed, Eur J Clin Invest, 2019 May 11:e13123. (Also see Systemic Autoimmune Rheumatic Diseases) ) This item was posted in the ISN Newsroom. Please check the newsroom daily for updates on scleroderma and other related articles.