Scleroderma Esophageal Dz Flashcards
1
Q
Sclerosis patho
Leads to
A
Microvascular injury and cytokine mediated inflammation
Infiltrate muscularis, causing SM atrophy
GERD, weak clearance
Peptic strictures
2
Q
CM of scleroderma
A
GERD, heartburn, regurg, dysphagia (s and l)
May indicate esophageal stricture
3
Q
DX suspected scleroderma
Test of choice
Radiologic finding
A
Esophageal sx and skin findings or Raynauds
Upper endoscopy
Dilated espophagus, distal dysmotility and esophageal stricture
4
Q
Tx
A
acid suppression via PPI
