Browsing by Author "Riascos Ceballos, Segundo Alex"
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Item Complicaciones en un paciente con esclerosis sistémica cutánea limitada (síndrome CREST): reporte de caso(Universidad Santiago de Cali, 2024) Riascos Ceballos, Segundo Alex; Cedeño, Diana Vanessa; Londoño, Mario Andrés (Director)Systemic sclerosis is a chronic, heterogeneous disease, most prevalent in middle-aged women, characterized by generalized skin and organ fibrosis, small vessel vasculopathy, and autoantibody production, with subtypes like CREST Syndrome and diffuse cutaneous scleroderma. This case report describes a 76-year-old female patient with a history of scleroderma, Raynaud's syndrome, and pulmonary hypertension, among other comorbidities. The patient was admitted to the emergency department due to fatigue, shortness of breath, and necrosis in three toes of the left foot, a manifestation considered a complication of her underlying CREST Syndrome. Despite intensive management, including immunosuppressive therapy, imaging studies, and balloon angioplasty, no clinical improvement in the necrotic lesions was achieved, ultimately requiring the amputation of the affected phalanges.