Successful Intensification of Intravenous Rheological Treatment of Phalanges Ischemia in SSc Patient Using AlprostadilIrena Walecka1*, Aleksandra Malewska1, Zuzanna Lagun1, Marek Roszkiewicz1, Marta Wieczorek1, Magdalena Kędzierska1 and Janus Kocki2
- *Corresponding Author:
- Irena Walecka
Dermatology Department, Central Clinical Hospital
of the Ministry of the Interior
and Administration in Warsaw, Poland
E-mail: [email protected]
Received Date: May 19, 2017 Accepted Date: June 15, 2017 Published Date: June 20, 2017
Citation: Walecka I, Malewska A, Lagun Z, Roszkiewicz M, Wieczorek M, et al. (2017) Successful Intensification of Intravenous Rheological Treatment of Phalanges Ischemia in SSc Patient Using Alprostadil. J Cardiovasc Dis Diagn 5:284. doi:10.4172/2329-9517.1000284
Copyright: © 2017 Walecka I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Systemic sclerosis (SSc) is a rare, auto immunological, connective tissue disease characterized by vasomotor disturbances, fibrosis and further atrophy of the skin and internal organs. There are many factors leading to immunological and vascular changes. One of the most prominent vascular symptoms is Raynaud’s phenomenon, which may be caused by different factors such as cold or excessive stress. This case report presents a 37- year old Caucasian woman with SSc, with severely impaired microcirculation of the hands and necrosis of the distal phalanges due to several hours of exposure to the cold. The patient required intensification of intravenous rheological treatment with alprostadil and oral usage of sildenafil, which had a positive effect on the improvement of the impaired microcirculation. Like many others, this case demonstrates that IV. rheological treatment may be effective in restoring microcirculation in such cases among SSc patients.