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Esclerose sistêmica cutânea difusa
ORPHA:220393CID-10 · M34.0CID-11 · 4A42.1PCDT · SUSDOENÇA RARA

A Esclerose Sistêmica Cutânea Difusa (ESCD) é um subtipo de Esclerose Sistêmica (ES) caracterizado pelo endurecimento da pele no tronco e nas extremidades. Essa forma da doença tem uma alta e precoce incidência de acometimento espalhado (atingindo vários órgãos), incluindo: doença pulmonar intersticial (um tipo de problema nos pulmões), insuficiência renal (problemas graves nos rins, que produzem pouca urina), doença gastrointestinal difusa (problemas generalizados no sistema digestivo) e acometimento do músculo do coração.

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Introdução

O que você precisa saber de cara

📋

A Esclerose Sistêmica Cutânea Difusa (ESCD) é um subtipo de Esclerose Sistêmica (ES) caracterizado pelo endurecimento da pele no tronco e nas extremidades. Essa forma da doença tem uma alta e precoce incidência de acometimento espalhado (atingindo vários órgãos), incluindo: doença pulmonar intersticial (um tipo de problema nos pulmões), insuficiência renal (problemas graves nos rins, que produzem pouca urina), doença gastrointestinal difusa (problemas generalizados no sistema digestivo) e acometimento do músculo do coração.

Pesquisas ativas
19 ensaios
83 total registrados no ClinicalTrials.gov
Publicações científicas
450 artigos
Último publicado: 2026 Mar

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
3.8
Taiwan, Province of China
Início
Adult
🏥
SUS: Cobertura mínimaScore: 30%
PCDT disponívelCID-10: M34.0
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Entender a doença

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫃
Digestivo
4 sintomas
🫁
Pulmão
4 sintomas
🧬
Pele e cabelo
3 sintomas
💪
Músculos
2 sintomas
❤️
Coração
1 sintomas
🛡️
Imunológico
1 sintomas

+ 8 sintomas em outras categorias

Características mais comuns

90%prev.
Oligúria
Muito frequente (99-80%)
90%prev.
Autoimunidade
Muito frequente (99-80%)
90%prev.
Anormalidade da pele
Muito frequente (99-80%)
90%prev.
Forame obturatório estreito
Muito frequente (99-80%)
90%prev.
Refluxo gastroesofágico
Muito frequente (99-80%)
90%prev.
Infiltrados pulmonares
Muito frequente (99-80%)
26sintomas
Muito frequente (7)
Frequente (13)
Ocasional (6)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 26 características clínicas mais associadas, ordenadas por frequência.

OligúriaOliguria
Muito frequente (99-80%)90%
AutoimunidadeAutoimmunity
Muito frequente (99-80%)90%
Anormalidade da peleAbnormality of the skin
Muito frequente (99-80%)90%
Forame obturatório estreitoNarrow foramen obturatorium
Muito frequente (99-80%)90%
Refluxo gastroesofágicoGastroesophageal reflux
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico450PubMed
Últimos 10 anos200publicações
Pico202537 papers
Linha do tempo
2026Hoje · 2026🧪 1997Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

5 genes identificados com associação a esta condição. Padrão de herança: Multigenic/multifactorial, Not applicable.

CAV1Caveolin-1Major susceptibility factor inTolerante
FUNÇÃO

May act as a scaffolding protein within caveolar membranes (PubMed:11751885). Forms a stable heterooligomeric complex with CAV2 that targets to lipid rafts and drives caveolae formation. Mediates the recruitment of CAVIN proteins (CAVIN1/2/3/4) to the caveolae (PubMed:19262564). Interacts directly with G-protein alpha subunits and can functionally regulate their activity (By similarity). Involved in the costimulatory signal essential for T-cell receptor (TCR)-mediated T-cell activation. Its bind

LOCALIZAÇÃO

Golgi apparatus membraneCell membraneMembrane, caveolaMembrane raftGolgi apparatus, trans-Golgi networkCytoplasm

VIAS BIOLÓGICAS (4)
SARS-CoV-2 targets host intracellular signalling and regulatory pathwaysSARS-CoV-1 targets host intracellular signalling and regulatory pathwaysExtra-nuclear estrogen signalingBasigin interactions
MECANISMO DE DOENÇA

Lipodystrophy, congenital generalized, 3

A form of congenital generalized lipodystrophy, a metabolic disorder characterized by a near complete absence of adipose tissue, extreme insulin resistance, hypertriglyceridemia, hepatic steatosis and diabetes mellitus. CGL3 inheritance is autosomal recessive.

OUTRAS DOENÇAS (6)
pulmonary hypertension, primary, 3partial lipodystrophy, congenital cataracts, and neurodegeneration syndromecongenital generalized lipodystrophy type 3heritable pulmonary arterial hypertension
HGNC:1527UniProt:Q03135
CCR6C-C chemokine receptor-like 2Major susceptibility factor inModerado
FUNÇÃO

Receptor for CCL19 and chemerin/RARRES2. Does not appear to be a signaling receptor, but may have a role in modulating chemokine-triggered immune responses by capturing and internalizing CCL19 or by presenting RARRES2 ligand to CMKLR1, a functional signaling receptors. Plays a critical role for the development of Th2 responses

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (3)
G alpha (i) signalling eventsChemokine receptors bind chemokinesBeta defensins
OUTRAS DOENÇAS (2)
limited cutaneous systemic sclerosisdiffuse cutaneous systemic sclerosis
HGNC:1607UniProt:O00421
IRF5Interferon regulatory factor 5Major susceptibility factor inTolerante
FUNÇÃO

Transcription factor that plays a critical role in innate immunity by activating expression of type I interferon (IFN) IFNA and INFB and inflammatory cytokines downstream of endolysosomal toll-like receptors TLR7, TLR8 and TLR9 (PubMed:11303025, PubMed:15695821, PubMed:22412986, PubMed:25326418, PubMed:32433612). Regulates the transcription of type I IFN genes (IFN-alpha and IFN-beta) and IFN-stimulated genes (ISG) by binding to an interferon-stimulated response element (ISRE) in their promoters

LOCALIZAÇÃO

CytoplasmNucleus

VIAS BIOLÓGICAS (3)
Interferon gamma signalingInterferon alpha/beta signalingSLC15A4:TASL-dependent IRF5 activation
MECANISMO DE DOENÇA

Inflammatory bowel disease 14

A chronic, relapsing inflammation of the gastrointestinal tract with a complex etiology. It is subdivided into Crohn disease and ulcerative colitis phenotypes. Crohn disease may affect any part of the gastrointestinal tract from the mouth to the anus, but most frequently it involves the terminal ileum and colon. Bowel inflammation is transmural and discontinuous; it may contain granulomas or be associated with intestinal or perianal fistulas. In contrast, in ulcerative colitis, the inflammation is continuous and limited to rectal and colonic mucosal layers; fistulas and granulomas are not observed. Both diseases include extraintestinal inflammation of the skin, eyes, or joints.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
112.8 TPM
Baço
39.3 TPM
Pulmão
19.5 TPM
Rim - Medula
19.1 TPM
Sangue
18.6 TPM
OUTRAS DOENÇAS (6)
systemic lupus erythematosusprimary biliary cholangitisdiffuse cutaneous systemic sclerosislimited cutaneous systemic sclerosis
HGNC:6120UniProt:Q13568
HLA-DRB1HLA class II histocompatibility antigen, DRB1 beta chainMajor susceptibility factor inRestrito
FUNÇÃO

A beta chain of antigen-presenting major histocompatibility complex class II (MHCII) molecule. In complex with the alpha chain HLA-DRA, displays antigenic peptides on professional antigen presenting cells (APCs) for recognition by alpha-beta T cell receptor (TCR) on HLA-DRB1-restricted CD4-positive T cells. This guides antigen-specific T-helper effector functions, both antibody-mediated immune response and macrophage activation, to ultimately eliminate the infectious agents and transformed cells

LOCALIZAÇÃO

Cell membraneEndoplasmic reticulum membraneLysosome membraneLate endosome membraneAutolysosome membrane

VIAS BIOLÓGICAS (7)
Generation of second messenger moleculesTranslocation of ZAP-70 to Immunological synapsePhosphorylation of CD3 and TCR zeta chainsCo-inhibition by PD-1Downstream TCR signaling
EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
1832.6 TPM
Pulmão
1234.8 TPM
Baço
990.6 TPM
Intestino delgado
607.2 TPM
Nervo tibial
598.3 TPM
OUTRAS DOENÇAS (16)
narcolepsy-cataplexy syndromefollicular lymphomaVogt-Koyanagi-Harada diseasepediatric multiple sclerosis
HGNC:4948UniProt:P01911
CCN2CCN family member 2Major susceptibility factor inTolerante
FUNÇÃO

Major connective tissue mitoattractant secreted by vascular endothelial cells. Promotes proliferation and differentiation of chondrocytes. Is involved in the stimulation of osteoblast differentiation and has a critical role in osteogenesis (PubMed:39414788). Mediates heparin- and divalent cation-dependent cell adhesion in many cell types including fibroblasts, myofibroblasts, endothelial and epithelial cells. Enhances fibroblast growth factor-induced DNA synthesis

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrixSecreted

VIAS BIOLÓGICAS (2)
RUNX3 regulates YAP1-mediated transcriptionYAP1- and WWTR1 (TAZ)-stimulated gene expression
MECANISMO DE DOENÇA

Kyphomelic dysplasia

An autosomal recessive skeletal dysplasia characterized by bowing of the limbs primarily affecting the femora, along with short stature, short and wide iliac wings, horizontal acetabular roof, platyspondyly, metaphyseal flaring and distinctive facial features that include prominent forehead, micrognathia, microstomia, cleft palate and low set ears.

OUTRAS DOENÇAS (4)
kyphomelic dysplasiaspondyloepimetaphyseal dysplasia, Li-Shao-Li typediffuse cutaneous systemic sclerosislimited cutaneous systemic sclerosis
HGNC:2500UniProt:P29279

Variantes genéticas (ClinVar)

76 variantes patogênicas registradas no ClinVar.

🧬 CCN2: NM_001901.4(CCN2):c.779_786del (p.Pro260fs) ()
🧬 CCN2: NM_001901.4(CCN2):c.443G>A (p.Cys148Tyr) ()
🧬 CCN2: NM_001901.4(CCN2):c.65G>C (p.Arg22Pro) ()
🧬 CCN2: NC_000006.11:g.(?_131894423)_(133849943_?)del ()
🧬 CCN2: GRCh37/hg19 6q23.2-24.2(chr6:131569837-145572239)x3 ()
Ver todas no ClinVar

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
Aprovado2
3Fase 31
2Fase 210
1Fase 16
·Pré-clínico1
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Esclerose sistêmica cutânea difusa

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

13 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

83 ensaios clínicos encontrados, 19 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
303 papers (10 anos)
#1

Cytometry-based blood immune cell markers associated with clinical outcomes in systemic sclerosis: protocol for a systematic review.

BMJ open2026 Feb 18

Systemic sclerosis (SSc) is a rare autoimmune disease characterised by skin and organ fibrosis, vasculopathy and immune dysregulation. Given the disease heterogeneity and severity, accurate prognostic and predictive markers are needed. Blood immunophenotyping by flow or mass cytometry offers a promising non-invasive approach to identify immune signatures associated with disease subtypes, complications (eg, interstitial lung disease, scleroderma renal crisis, digital ulcers) and treatment responses. However, findings remain inconsistent and lack clinical standardisation. This systematic review aims to identify cytometry-based blood immune markers associated with clinical outcomes in SSc. A comprehensive search will be conducted on three databases: PubMed, Web of Science and Cochrane Library, from their inception to the date of the final search (21 December 2025). Data will be extracted and analysed using a predefined charting form. Studies published in English or French reporting the use of flow or mass cytometry for peripheral blood cells phenotyping in adults with SSc will be included. Comparators will include healthy controls, other autoimmune diseases, disease severity groups and treatment response subgroups. The primary outcome will be the association with the diffuse cutaneous subtype, while secondary outcomes will include overall survival and disease-specific mortality, organ involvement, progression of the disease and treatment response. Ethical approval is not required as this review is an analysis of published scientific literature and does not involve patients. The results of this systematic literature review will be submitted for publication in a peer-reviewed journal and presented at relevant conferences. CRD420250644594.

#2

Fetal and maternal outcome in the pregnancies of patients with systemic sclerosis and very early diagnosis of systemic sclerosis in France: a prospective study.

The Lancet. Rheumatology2026 Jan

Prospective data on pregnancies in systemic sclerosis are scarce. We aimed to examine the frequency of adverse pregnancy outcomes and maternal disease progression in systemic sclerosis, as well as the factors that predict these events. In this analysis, we studied pregnant women with systemic sclerosis (American College of Rheumatology-European League Against Rheumatism 2013 classification) or with Very Early Diagnosis of Systemic Sclerosis (VEDOSS criteria) included in the GR2 French prospective study. Frequency of composite adverse pregnancy outcomes (preterm birth at 34 weeks or less, placental insufficiency complications, small for gestational age, or fetal or neonatal death) and maternal disease course were the primary objectives. The secondary objectives were to assess other complications related to pregnancy (including delivery outcomes and postpartum complications) and compare these results with outcomes for age-matched controls from the French perinatal survey (ENP) 2016 (ie, general population), and to identify predictive factors associated with composite adverse pregnancy outcomes and maternal disease course using univariate analysis. Between May 1, 2014, and Dec 27, 2020, we included 58 pregnancies (in 52 women), with 53 (91·4%) resulting in livebirths. Of the 53 ongoing pregnancies beyond 22 weeks of gestation, 14 (26·4%) had a composite adverse pregnancy outcome, including two (3·8%) preterm deliveries at 34 weeks of gestation or less, 12 (22·6%) placental insufficiency complications (pre-eclampsia or fetal growth restriction), and six (11·3%) small for gestational age. Among the 53 pregnancies, six (11·3%) severe postpartum haemorrhage events occurred. When compared with the 2016 ENP survey results, pre-eclampsia (seven [13·2%] of 53 vs 16 [3·0%] of 530, p=0·0010, preterm birth before 37 weeks of gestation (seven [13·2%] of 53 vs 31 [5·8%] of 530, p=0·047), birthweight of less than 2500 g (11 [21·1%] of 52 vs 23 [4·3%] of 530, p<0·0001), and severe postpartum haemorrhage (six [11·3%] of 53 vs seven [1·4%] of 516, p=0·0001) were more frequent than in the general population. No factors were significantly associated with the composite adverse pregnancy outcome in univariate analysis. Systemic sclerosis or VEDOSS worsened in 23 (39·7%) of 58 pregnancies, mainly during the postpartum period. In the univariate analysis, diffuse cutaneous systemic sclerosis (odds ratio 3·7 [95% CI 1·1-12·4]) and previous cutaneous vascular involvement (3·7 [1·2-11·5]) were associated with maternal disease progression, whereas the presence of anticentromere antibodies was inversely associated with stable disease (0·2 [0·1-0·8]). Despite 53 (91·4%) of 58 livebirths, systemic sclerosis pregnancies were associated with higher rates of adverse pregnancy outcomes and severe postpartum haemorrhage. Disease worsened in 23 (39·7%) of 58 pregnancies, particularly during the postpartum period, especially in women with diffuse cutaneous systemic sclerosis, previous cutaneous vascular involvement, and antibodies other than anticentromere. Lupus France, Association des Sclérodermiques de France, Association Gougerot Sjögren, Association Francophone Contre la Polychondrite Chronique Atrophiante, AFM-Telethon, Société Nationale Française de Médecine Interne, Société Française de Rhumatologie, Cochin Hospital, French Health Ministry, Fondation for Research in Rheumatology, Association Prix Véronique Roualet, Union Chimique Belge.

#3

Efficacy and Safety of Tofacitinib Compared to Cyclophosphamide in Early Diffuse Cutaneous Systemic Sclerosis: A Randomized Controlled Trial.

Cureus2026 Feb

This study aims to determine the efficacy of tofacitinib in the treatment of early diffuse cutaneous systemic sclerosis. This open-label randomized controlled clinical trial was conducted at the Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University, Dhaka. The trial was registered at ClinicalTrials.gov (identifier: NCT06044844). Consecutive sampling was used in this study. Forty-six patients were randomized to groups A and B using block randomization, with 23 patients in each group. In group A, tofacitinib (5 mg) was administered twice daily. Group B received cyclophosphamide (500 mg/m² monthly). Primary efficacy was assessed by the change in the Modified Rodnan Skin Score (mRSS) from baseline after 24 weeks. Secondary efficacy was assessed by the change in the Disease Activity Score for 28 joints (DAS28) in response to changes in C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR). The Bangla version of the Health Assessment Questionnaire-Disability Index (B-HAQ) response from baseline to 24 weeks was analyzed. Oral prednisolone (≤10 mg/day), calcium channel blockers, and phosphodiesterase 5 inhibitors (sildenafil and tadalafil) were administered. Follow-up was performed at four, 12, and 24 weeks. History, physical examination, and relevant investigations were used to assess adverse effects. Changes in acute-phase reactants and composite measures within the groups from baseline to 24 weeks were also analyzed. Adverse effects were assessed through patient history, physical examination, and relevant investigations. Per-protocol analysis showed a significantly greater reduction in mRSS in group A compared with group B at 12 weeks (7.0 ± 2.89 vs. 5.26 ± 2.42; p = 0.03) and 24 weeks (10.17 ± 2.92 vs. 8.0 ± 4.08; p = 0.04). DAS28-ESR and DAS28-CRP reductions were significant between the groups from baseline to weeks 12 and 24 (p < 0.05). The reduction in functional status (measured by B-HAQ) was 2.11 ± 4.91 and 0.96 ± 0.53 in groups A and B, respectively (p = 0.43). FVC change was 9.17 ± 8.33 in group A and 3.43 ± 8.1 in group B. Within the other core set of outcomes, composite measures were significantly improved in group A. Two patients (8.7%) in group A and six patients (17.4%) in group B developed nausea. Two patients (8.7%) in both groups developed respiratory tract infections and urinary tract infections. Taeniasis developed in three patients (13%) in group B. Two cyclophosphamide-treated patients (8.7%) developed hemorrhagic cystitis. Tofacitinib demonstrated significant efficacy in reducing skin thickness (mRSS) in early dcSSc, showing both numerical and statistical advantages over cyclophosphamide at 24 weeks, along with a more favorable safety profile. These findings support further evaluation of tofacitinib as a potential therapeutic option in this patient population.

#4

A retrospective analysis of clinical characteristics of systemic sclerosis-associated interstitial lung disease.

Medicine2026 Mar 06

Systemic sclerosis (SSc) is a rare, complex, chronic, progressive, severe, often life-threatening, fibrosing, heterogeneous autoimmune connective tissue disease with immune dysfunction and limited treatment options. Interstitial lung disease (ILD) is common in SSc. To study the clinical characteristics of systemic sclerosis-associated interstitial lung disease (SSc-ILD) will provide evidence for the early diagnosis, treatment decision-making, and prognosis of SSc-ILD patients. One hundred and seventy-five patients with SSc were retrospectively enrolled and divided into SSc-ILD group and SSc-non-ILD group. The general clinical characteristics, autoantibodies, laboratory test, thorax high-resolution computed tomography (HRCT), pulmonary function testing, stratification, and treatment options were compared between the 2 groups. The risk factors of SSc-ILD were also analyzed. One hundred and twenty-four SSc-ILD patients (70.9%) and 51 SSc-non-ILD patients (29.1%) were in 175 SSc patients. Raynaud phenomenon, skin swelling, and joint involvement were the top 3 initial symptoms. Sixty-seven SSc-ILD patients (54.1%) showed new onset or progression of ILD on HRCT, which were heterogeneous. The significantly increased indicators in SSc-ILD group were gastrointestinal involvement (P = .003), antinuclear antibody (ANA) (P = .006), anti-Scl-70 (P <.001), anti-SSA (P = .008), and rheumatoid factor (P = .04), erythrocyte sedimentation rate (ESR) (P = .005), CRP (P = .000), IL-6 (P = .001), globulin (P = .006), IgG (P = .002), IgA (P = .001), while the decreased indicators were mean corpusular hemoglobin concerntration (P = .036), albumin (P = .046), liver dysfunction (P = .018), and FVC% (P = .006). Positive anti-Scl-70 antibody and decreased FVC% were independent risk factors for SSc-ILD. The incidence of ILD occurrence and progression was significantly higher in patients with anti-Scl-70 antibody, diffuse cutaneous systemic sclerosis (dcSSc) plus anti-Scl-70 antibody, ESR ≥50 mm/h, and CRP ≥5.00 mg/L (P <.05). Based on the predictive factors (gastrointestinal involvement, joint involvement, positive anti-Scl-70 antibody, liver dysfunction, duration of disease, FVC%, mean corpusular hemoglobin concerntration, ESR, CRP, IgG, IgA, globulin, and albumin), independent risk factors (anti-Scl-70 antibody and decreased FVC%), clinical phenotypic and autoantibody stratification, HRCT heterogeneity, and atypical initial symptoms, it may be seized the "window of opportunity" with early diagnosis may exist for preventing the irreversible progression of pulmonary fibrosis of SSc-ILD patients.

#5

Crowned Dens Syndrome Mimicking Atlantoaxial Infection in a Patient With Systemic Sclerosis: A Case Report.

Case reports in rheumatology2026

Crowned dens syndrome (CDS), caused by calcium pyrophosphate or hydroxyapatite deposition around the odontoid process, is an under-recognized cause of acute severe neck pain and headache. It can closely mimic septic arthritis, osteomyelitis, giant cell arteritis (GCA), polymyalgia rheumatica (PMR), or cervical spondylitis. We report a case of CDS in a patient with diffuse systemic sclerosis initially managed for presumed infection. A 55-year-old man with diffuse cutaneous systemic sclerosis on mycophenolate mofetil and methotrexate presented with severe throbbing headache, facial tenderness, and diffuse pain. CT/CTA of the head and neck were negative for vascular events; MRI revealed inflammatory changes at the atlantoaxial and atlanto-occipital joints concerning for septic arthritis/osteomyelitis with abscess formation. Broad-spectrum antibiotics were initiated. The patient's symptoms persisted despite antibiotics, prompting repeat imaging. CT demonstrated calcifications surrounding the odontoid process, raising suspicion for CDS. Colchicine and low-dose prednisone were introduced while antibiotics were continued, given ongoing concern for occult infection in an immunosuppressed host. Within 1 week, the patient experienced near-complete resolution of pain. At follow-up, he remained symptom-free, allowing reintroduction of methotrexate while mycophenolate was held. CDS should be considered in the differential diagnosis of severe headache and neck pain in rheumatology patients, particularly when imaging shows craniocervical inflammation and calcifications. CT of the odontoid is diagnostic, but MRI findings may mimic infection. Awareness of CDS is critical to avoid misdiagnosis, unnecessary procedures, or prolonged inappropriate therapy. Prompt recognition and anti-inflammatory treatment can be rapidly effective and permit safe reintroduction of disease-modifying therapy.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC195 artigos no totalmostrando 197

2026

Diffuse Cutaneous Systemic Sclerosis Complicated by Serum Amyloid A Protein Cardiac Amyloidosis and Cardiogenic Shock.

CJC open
2026

Efficacy and Safety of Tofacitinib Compared to Cyclophosphamide in Early Diffuse Cutaneous Systemic Sclerosis: A Randomized Controlled Trial.

Cureus
2026

A retrospective analysis of clinical characteristics of systemic sclerosis-associated interstitial lung disease.

Medicine
2026

Crowned Dens Syndrome Mimicking Atlantoaxial Infection in a Patient With Systemic Sclerosis: A Case Report.

Case reports in rheumatology
2026

A randomised open label pilot trial comparing mycophenolate mofetil with no immunosuppression in limited cutaneous systemic sclerosis (MINIMISE-Pilot).

Rheumatology (Oxford, England)
2026

Cytometry-based blood immune cell markers associated with clinical outcomes in systemic sclerosis: protocol for a systematic review.

BMJ open
2026

Engaging the PD-1 pathway in systemic sclerosis attenuates inflammation-driven fibrosis.

Annals of the rheumatic diseases
2026

Lymphocyte Activation Gene 3 Regulation of Profibrotic Cytokines and Type I Collagen Production in Patients With Systemic Sclerosis.

ACR open rheumatology
2025

Identification of novel fibroblast subsets in diffuse cutaneous systemic sclerosis.

Annals of the rheumatic diseases
2025

Baricitinib ameliorates skin fibrosis via direct fibroblast suppression and endothelial exosome-mediated paracrine signaling.

Arthritis research &amp; therapy
2026

Multimodal analyses of early, untreated systemic sclerosis skin identify a proinflammatory vascular niche of macrophage-fibroblast signaling.

JCI insight
2026

Assessment of alveolar capillary membrane permeability using technetium 99m-diethylene triamine pentaacetate (Tc99m-DTPA) aerosols in patients with diffuse cutaneous systemic sclerosis - a cross-sectional study.

Expert review of medical devices
2025

A composite biomarker score to predict modified Rodnan skin score in systemic sclerosis: insight from autologous stem cell transplantation international scleroderma trial.

Arthritis research &amp; therapy
2026

A pharmacokinetics study to evaluate drug-drug interactions between fipaxalparant and concomitant medications in healthy participants.

Clinical pharmacology in drug development
2026

Fetal and maternal outcome in the pregnancies of patients with systemic sclerosis and very early diagnosis of systemic sclerosis in France: a prospective study.

The Lancet. Rheumatology
2025

An Unusual Case of Seronegative Systemic Sclerosis and Cardiac Tamponade.

Cureus
2026

Skin Biopsies Enhance Prediction of Clinical Trajectory in Diffuse Cutaneous Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

The use of JAK-1 selective inhibitor filgotinib to manage a rare case of concurrent cervical spine calcinosis and inflammatory changes of the odontoid process in diffuse cutaneous systemic sclerosis.

Clinical and experimental rheumatology
2025

Circulating adiponectin levels in systemic sclerosis: A meta-analysis and bidirectional Mendelian randomization study.

Journal of scleroderma and related disorders
2025

Differences in nailfold capillaroscopy findings between limited and diffuse cutaneous systemic sclerosis: a detailed analysis.

RMD open
2025

An iPSC-derived CD19/BCMA CAR-NK therapy in a patient with systemic sclerosis.

Cell
2025

Upadacitinib as a potential management option for diffuse cutaneous systemic sclerosis: A case report.

SAGE open medical case reports
2025

Patient-reported gastrointestinal involvement is associated with reduced quality of life and disability in systemic sclerosis.

Journal of scleroderma and related disorders
2025

Cognitive debriefing of the Scleroderma Health Assessment Questionnaire in diffuse cutaneous systemic sclerosis.

Journal of scleroderma and related disorders
2025

Examining the relationship between vascular biomarkers and both microangiopathy and cutaneous fibrosis in systemic sclerosis.

Journal of scleroderma and related disorders
2025

Autologous hematopoietic stem-cell transplantation in diffuse cutaneous systemic sclerosis: a single-center experience.

Reumatismo
2025

Frequency of Disease Subsets and Spectrum of Organ Involvement and Interstitial Lung Disease Patterns in Patients of Systemic Sclerosis in Pakistani Population.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2025

Bilateral Keratoconus in Diffuse Cutaneous Systemic Sclerosis: A Rare Presentation - Is There Any Role of Autoimmunity?

Turkish journal of ophthalmology
2025

Gastroesophageal Intussusception Treated With Combined Transoral Incisionless Fundoplication in a Patient With Systemic Sclerosis.

ACG case reports journal
2025

Serum type I interferon score as a disease activity biomarker in patients with diffuse cutaneous systemic sclerosis: a retrospective cohort study.

The Lancet. Rheumatology
2025

The minimal clinically important difference of the scleroderma clinical trials consortium damage index.

Journal of scleroderma and related disorders
2025

[Diffuse hyperpigmentation in systemic sclerosis].

Dermatologie (Heidelberg, Germany)
2025

Is there a link between choroidal and retinal parameters in patients with systemic sclerosis? A prospective study.

Photodiagnosis and photodynamic therapy
2025

Belumosudil in diffuse cutaneous systemic sclerosis: a randomized, double-blind, open-label extension, placebo-controlled, phase 2 study.

Rheumatology (Oxford, England)
2025

Diffuse Cutaneous Systemic Sclerosis With Normotensive Scleroderma Renal Crisis and Myopericarditis: A Case Report.

Cureus
2025

Comparative Efficacy of Immunosuppressive Therapies in the Treatment of Diffuse Cutaneous Systemic Sclerosis.

ACR open rheumatology
2025

Improvement in long-term survival with mesenchymal stem cell transplantation in systemic sclerosis patients: a propensity score-matched cohort study.

Stem cell research &amp; therapy
2025

Systemic sclerosis complicated by azathioprine-induced iatrogenic immunodeficiency-associated lymphoproliferative disorder: A case report.

Modern rheumatology case reports
2025

Arrhythmia as a Possible Complication of Mycophenolate Mofetil in Systemic Sclerosis: A Case Report.

Case reports in medicine
2025

Management of disease progression after autologous hematopoietic stem cell transplantation in systemic sclerosis: Results from an international questionnaire-based study.

Seminars in arthritis and rheumatism
2025

A phase 2 randomized trial of safety and pharmacokinetics of IgPro20 and IgPro10 in patients with diffuse cutaneous systemic sclerosis.

Rheumatology (Oxford, England)
2025

Dysfunctional KLRB1+CD8+ T-cell responses are generated in chronically inflamed systemic sclerosis skin.

Annals of the rheumatic diseases
2025

Psychosocial moderators of the association between pain intensity and physical function in people with systemic sclerosis.

Journal of scleroderma and related disorders
2025

Systemic sclerosis-associated severe gastric antral vascular ectasia treated with tocilizumab:A case report and review of the literature.

Journal of scleroderma and related disorders
2024

Quantitative 18F-FDG PET-CT can assess presence and extent of interstitial lung disease in early severe diffuse cutaneous systemic sclerosis.

Arthritis research &amp; therapy
2025

Hospitalizations in patients with systemic sclerosis: Differences between limited and diffuse cutaneous subtypes.

Journal of scleroderma and related disorders
2025

Phenotype of diffuse cutaneous systemic sclerosis patients with positive anticentromere antibodies: A systematic literature review and meta-analysis.

Seminars in arthritis and rheumatism
2025

Autologous Nonmyeloablative Hematopoietic Stem Cell Transplantation for Diffuse Cutaneous Systemic Sclerosis: Identifying Disease Risk Factors for Toxicity and Long-Term Outcomes in a Prospective, Single-Arm Trial.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Design of CONQUEST, a novel, randomized, placebo-controlled, Phase 2b platform clinical trial to investigate new treatments for patients with early active systemic sclerosis with interstitial lung disease.

Journal of scleroderma and related disorders
2025

Oral Glucocorticoids for Skin Fibrosis in Early Diffuse Systemic Sclerosis: A Target Trial Emulation Study From the European Scleroderma Trials and Research Group Database.

Arthritis care &amp; research
2024

Prevalence, causes, and clinical associations of anemia in patients with systemic sclerosis: A cohort study.

Journal of scleroderma and related disorders
2024

Does regression of skin thickening predict improvement of internal organ involvement and survival in patients with diffuse cutaneous systemic sclerosis? A EUSTAR analysis.

Arthritis research &amp; therapy
2024

Long-term outcome of autologous haematopoietic stem cell transplantation in patients with systemic sclerosis: a comparison with patients treated with rituximab and with traditional immunosuppressive agents.

Arthritis research &amp; therapy
2024

Kidney Transplantation in a Patient with Scleroderma.

The Israel Medical Association journal : IMAJ
2024

Autologous hematopoietic stem cell transplant for systemic sclerosis associated interstitial lung disease.

Current opinion in rheumatology
2024

Disturbed Complement Receptor Expression Pattern of B Cells Is Enhanced by Toll-like Receptor CD180 Ligation in Diffuse Cutaneous Systemic Sclerosis.

International journal of molecular sciences
2024

Superior mesenteric artery syndrome - An unusual presentation associated with diffuse cutaneous systemic sclerosis in two cases.

Indian journal of dermatology, venereology and leprology
2024

Toll-like Receptor Homologue CD180 Ligation of B Cells Upregulates Type I IFN Signature in Diffuse Cutaneous Systemic Sclerosis.

International journal of molecular sciences
2024

Allogeneic CD19-targeted CAR-T therapy in patients with severe myositis and systemic sclerosis.

Cell
2024

Familial aggregation of diffuse cutaneous systemic sclerosis: Interplay of C1r gene defect, susceptible HLA haplotype and autoantibodies.

International journal of rheumatic diseases
2024

Assessing hand and global disability in a cohort of Algerian patients with systemic sclerosis: Construct validities of the Arab Hand Function Index and the Arabic Health Assessment Questionnaire.

Journal of scleroderma and related disorders
2024

Treatment Outcomes of Scleroderma With Janus Kinase Inhibitors: A Systematic Review.

Journal of cutaneous medicine and surgery
2024

Interferon-γ Induces Interleukin-6 Production and Alpha-smooth Muscle Actin Expression in Systemic Sclerosis Fibroblasts.

Iranian journal of allergy, asthma, and immunology
2024

Nuclear-penetrating scleroderma autoantibody inhibits topoisomerase 1 cleavage complex formation.

Biochemical and biophysical research communications
2024

Pharmacokinetics of Fipaxalparant, a Small-Molecule Selective Negative Allosteric Modulator of Lysophosphatidic Acid Receptor 1, and the Effect of Food in Healthy Volunteers.

Clinical pharmacology in drug development
2024

Effect of Hepatic and Renal Impairment on the Pharmacokinetics of Dersimelagon (MT-7117), an Oral Melanocortin-1 Receptor Agonist.

Clinical pharmacology in drug development
2025

Brentuximab vedotin for skin involvement in refractory diffuse cutaneous systemic sclerosis, an open-label trial.

Rheumatology (Oxford, England)
2024

Outcomes of Patients With Diffuse Systemic Sclerosis Eligible for Autologous Stem Cell Transplantation Treated With Conventional Therapy.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2024

Immune Checkpoint Inhibitor-Associated Systemic Sclerosis in the Treatment of a Small Cell Lung Cancer Patient with Durvalumab: A Case Report.

Clinical, cosmetic and investigational dermatology
2024

Biomarker analysis from the phase 2b randomized placebo-controlled trial of riociguat in early diffuse cutaneous systemic sclerosis.

Rheumatology (Oxford, England)
2024

Associations of Digital Ulcers in Patients with Systemic Sclerosis: An 8-Year Retrospective Study.

Dermatology (Basel, Switzerland)
2024

Acute Respiratory Distress Syndrome in a Patient With Systemic Sclerosis: A Case of a Life-Threatening Complication.

Cureus
2024

Exploratory clinical subgroup clustering in systemic sclerosis: Results from the Indian Progressive Systemic Sclerosis Registry.

Journal of scleroderma and related disorders
2023

Riociguat in patients with early diffuse cutaneous systemic sclerosis (RISE-SSc): open-label, long-term extension of a phase 2b, randomised, placebo-controlled trial.

The Lancet. Rheumatology
2024

Case report of anti-survival motor neuron complex antibody-positive overlap syndrome of diffuse cutaneous systemic sclerosis and idiopathic inflammatory myopathies.

The Journal of dermatology
2024

Macular choroidal thickness, volume, and vascularity index in patients with systemic sclerosis.

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
2023

[Expression and clinical significance of plasma exosomal miR-34-5p and miR-142-3p in systemic sclerosis].

Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences
2023

Rapid Progression of Skin Sclerosis Following Surgery for Carpal Tunnel Syndrome: A Case of Diffuse Cutaneous Systemic Sclerosis.

Cureus
2023

Kidney Transplant Outcomes in Patients With Scleroderma an Experience at Northwestern Memorial Hospital, Chicago, Illinois.

Transplantation proceedings
2023

Peripapillary choroidal vascularity index and thickness in patients with systemic sclerosis.

Frontiers in medicine
2023

Scleroderma renal crisis triggered by ibuprofen: Insights on complement-directed therapy.

Journal of scleroderma and related disorders
2023

Anti-thymocyte globulin exposure in patients with diffuse cutaneous systemic sclerosis undergoing autologous haematopoietic stem cell transplantation.

Journal of scleroderma and related disorders
2023

Reference value for the 6-min walking distance in women with systemic sclerosis considering the impact of muscle strength.

Clinical biomechanics (Bristol, Avon)
2023

Metabolic fingerprinting of systemic sclerosis: a systematic review.

Frontiers in molecular biosciences
2023

Single-cell analysis reveals key differences between early-stage and late-stage systemic sclerosis skin across autoantibody subgroups.

Annals of the rheumatic diseases
2022

Cutaneous Features, Autoantibody Profile, and Nailfold Capillaroscopy of Systemic Sclerosis: A Study of 60 Cases.

The Journal of the Association of Physicians of India
2023

A rare case of signet ring cell carcinoma with diffuse cutaneous systemic sclerosis: A case report.

The journal of obstetrics and gynaecology research
2023

Subcutaneous immunoglobulin therapy for refractory skin thickening in rapidly progressive systemic sclerosis: A case report and literature review.

Journal of scleroderma and related disorders
2023

Comprehensive description of the prevalence, serological and clinical characteristics, and visceral involvement of systemic sclerosis (scleroderma) in a large cohort from the United Arab Emirates Systemic Sclerosis Registry.

Journal of scleroderma and related disorders
2023

Copeptin as a Biomarker of Microcirculation Alterations in Systemic Sclerosis.

Clinical, cosmetic and investigational dermatology
2023

Efficacy and Safety of Lenabasum, a Cannabinoid Type 2 Receptor Agonist, in a Phase 3 Randomized Trial in Diffuse Cutaneous Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2023

Absorption, metabolism, and excretion of [14 C]dersimelagon, an investigational oral selective melanocortin 1 receptor agonist, in preclinical species and healthy volunteers.

Pharmacology research &amp; perspectives
2024

Bilateral Optic Neuropathy in Association with Diffuse Cutaneous Systemic Sclerosis with Interstitial Lung Disease.

Ocular immunology and inflammation
2022

Efficacy of Fractional CO2 Laser for Improvement of Limited Mouth Opening in Systemic Sclerosis.

Journal of cutaneous and aesthetic surgery
2023

Salivary Flow Rate and Oral Status in Patients with Primary Sjögren's Syndrome and Diffuse Cutaneous Systemic Sclerosis: A Cross-Sectional Study.

Diagnostics (Basel, Switzerland)
2023

Purtscher-like Retinopathy in a Patient with Systemic Sclerosis: A Case Report and Narrative Review.

Biomedicines
2023

Native T1 mapping in early diffuse and limited systemic sclerosis, and its association with diastolic function.

Journal of cardiology
2023

Brachial artery flow-mediated dilation in patients with systemic sclerosis: an experience from tertiary care center from North India.

Clinical rheumatology
2023

The Oral Bioavailability and Effect of Various Gastric Conditions on the Pharmacokinetics of Dersimelagon in Healthy Adult Volunteers.

Clinical pharmacology in drug development
2023

Impact of Innovative Treatment Using Biological Drugs for the Modulation of Diffuse Cutaneous Systemic Sclerosis: A Systematic Review.

Medicina (Kaunas, Lithuania)
2023

A 24-Week, Phase IIa, Randomized, Double-Blind, Placebo-Controlled Study of Ziritaxestat in Early Diffuse Cutaneous Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2023

Prevalence of and factors independently associated with digital ischemic complications in patients with systemic sclerosis.

Journal of scleroderma and related disorders
2023

Giant cell arteritis with myeloperoxidase anti-neutrophil cytoplasmic antibody seropositivity in a patient with systemic sclerosis.

Modern rheumatology case reports
2023

Case of systemic sclerosis overlapping with psoriasis.

International journal of rheumatic diseases
2023

Evaluation of choroidal vascularity index in systemic sclerosis patients.

Photodiagnosis and photodynamic therapy
2023

Silica associated systemic sclerosis: an occupational health hazard.

BMJ case reports
2023

A Phase II randomized controlled trial of oral prednisolone in early diffuse cutaneous systemic sclerosis (PRedSS).

Rheumatology (Oxford, England)
2022

Comparing clinical characteristics of systemic sclerosis with or without interstitial lung disease: A cross-sectional study from a single center of the Chinese Rheumatism Data Center.

Frontiers in medicine
2022

Trigeminal Neuralgia as an Initial Presentation of Systemic Autoimmune Diseases: A Case Series.

Mediterranean journal of rheumatology
2022

Epiregulin is a dendritic cell-derived EGFR ligand that maintains skin and lung fibrosis.

Science immunology
2022

The Relationship between Smoking, Raynaud's Phenomenon, Digital Ulcers, and Skin Thickness in the Waikato Systemic Sclerosis Cohort.

Rheumatology and immunology research
2022

Integrated analysis of dermal blister fluid proteomics and genome-wide skin gene expression in systemic sclerosis: an observational study.

The Lancet. Rheumatology
2022

Agreement Between Physician Evaluation and the Composite Response Index in Diffuse Cutaneous Systemic Sclerosis.

Arthritis care &amp; research
2023

Three Distinct Transcriptional Profiles of Monocytes Associate with Disease Activity in Scleroderma Patients.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2023

Myeloablative autologous haematopoietic stem cell transplantation resets the B cell repertoire to a more naïve state in patients with systemic sclerosis.

Annals of the rheumatic diseases
2022

Sex-specific risk of anti-topoisomerase antibodies on mortality and disease severity in systemic sclerosis: 10-year analysis of the Leiden CCISS and EUSTAR cohorts.

The Lancet. Rheumatology
2022

Direct and indirect health-related costs of systemic sclerosis in New Zealand.

International journal of rheumatic diseases
2022

Systemic Sclerosis, Malnutrition, and Small Bowel Obstruction: Why Clinicians Should Consider Early Total Parenteral Nutrition in Systemic Sclerosis With Severe Gastrointestinal Involvement.

Cureus
2022

JAK1/2 Inhibitor Baricitinib Improves Skin Fibrosis and Digital Ulcers in Systemic Sclerosis.

Frontiers in medicine
2022

Revisiting the disease specificity and nomenclature of ficolin-1-positive monocyte-derived dendritic cells in diffuse cutaneous systemic sclerosis: comment on the article by Xue et al.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2022

Autoantibodies versus Skin Fibrosis Extent in Systemic Sclerosis: A Case-Control Study of Inverted Phenotypes.

Diagnostics (Basel, Switzerland)
2022

Systemic sclerosis manifestations and clinical outcomes in Hispanics/Latinos of the American Southwest.

Journal of scleroderma and related disorders
2022

Orthogonal quantification of soluble inducible T-cell costimulator (ICOS) in healthy and diseased human serum.

Journal of pharmaceutical analysis
2022

Genome-wide DNA methylation pattern in systemic sclerosis microvascular endothelial cells: Identification of epigenetically affected key genes and pathways.

Journal of scleroderma and related disorders
2022

Immunosuppression use in early systemic sclerosis may be increasing over time.

Journal of scleroderma and related disorders
2021

High D-dimer plasma concentration in systemic sclerosis patients: Prevalence and association with vascular complications.

Journal of scleroderma and related disorders
2022

Information preferences about treatment options in diffuse cutaneous systemic sclerosis: A Delphi consensus study.

Journal of scleroderma and related disorders
2022

Belumosudil with ROCK-2 inhibition: chemical and therapeutic development to FDA approval for the treatment of chronic graft-versus-host disease.

Current research in translational medicine
2022

Antinuclear antibody pattern and autoantibody profiling of systemic sclerosis patients in a tertiary referral center in North India.

Pathology international
2022

Skin involvement in early diffuse cutaneous systemic sclerosis: an unmet clinical need.

Nature reviews. Rheumatology
2023

Chronic dyspnea with Raynaud's phenomenon and elevated ANA: A diagnosis of systemic sclerosis sine scleroderma.

The American journal of the medical sciences
2022

Clinical worsening following discontinuation of tocilizumab in diffuse cutaneous systemic sclerosis: a single-centre experience in Japan.

Rheumatology (Oxford, England)
2022

Diffuse cutaneous systemic sclerosis following SARS-Co V-2 vaccination.

Journal of autoimmunity
2022

Cannabinoids for the Treatment of Dermatologic Conditions.

JID innovations : skin science from molecules to population health
2022

Associations between the Composite Response Index in Diffuse Cutaneous Systemic Sclerosis (CRISS), survival and other disease measures.

Seminars in arthritis and rheumatism
2022

Spontaneous pneumomediastinum developed after steroid pulse therapy in diffuse cutaneous systemic sclerosis patient: A case report.

The Journal of dermatology
2020

Safety and efficacy of abatacept in early diffuse cutaneous systemic sclerosis (ASSET): open-label extension of a phase 2, double-blind randomised trial.

The Lancet. Rheumatology
2022

Clinical features and prognostic factors of systemic sclerosis in Guangxi, China: Retrospective, single-center study of long-term survival in 470 patients.

International journal of rheumatic diseases
2021

Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review.

The Journal of international medical research
2022

Anti-polymyositis/Scl antibody-positive overlap syndrome of diffuse cutaneous systemic sclerosis, dermatomyositis, systemic lupus erythematosus, and antiphospholipid syndrome.

The Journal of dermatology
2021

Occlusive retinal vasculitis associated with systemic sclerosis and antiphospholipid antibodies.

American journal of ophthalmology case reports
2023

Therapeutic Approaches to Systemic Sclerosis: Recent Approvals and Future Candidate Therapies.

Clinical reviews in allergy &amp; immunology
2021

Autologous stem-cell transplantation in systemic sclerosis-associated interstitial lung disease: early action in selected patients rather than escalation therapy for all.

Therapeutic advances in musculoskeletal disease
2021

A randomised, double-blind, placebo-controlled phase 3 study of lenabasum in diffuse cutaneous systemic sclerosis: RESOLVE-1 design and rationale.

Clinical and experimental rheumatology
2022

Outcomes linked to eligibility for stem cell transplantation trials in diffuse cutaneous systemic sclerosis.

Rheumatology (Oxford, England)
2021

Increased Frequency of Activated Switched Memory B Cells and Its Association With the Presence of Pulmonary Fibrosis in Diffuse Cutaneous Systemic Sclerosis Patients.

Frontiers in immunology
2021

Successful treatment with baricitinib of refractory arthritis in a patient with severe diffuse cutaneous systemic sclerosis-rheumatoid arthritis overlap syndrome.

Clinical and experimental rheumatology
2021

Molecular basis for clinical diversity between autoantibody subsets in diffuse cutaneous systemic sclerosis.

Annals of the rheumatic diseases
2021

Clinical trial protocol: PRednisolone in early diffuse cutaneous Systemic Sclerosis (PRedSS).

Journal of scleroderma and related disorders
2021

Pain and Self-Efficacy Among Patients With Systemic Sclerosis: A Scleroderma Patient-Centered Intervention Network Cohort Study.

Nursing research
2021

Clinical characteristics, visceral involvement, and mortality in at-risk or early diffuse systemic sclerosis: a longitudinal analysis of an observational prospective multicenter US cohort.

Arthritis research &amp; therapy
2021

Comprehensive analysis of the major histocompatibility complex in systemic sclerosis identifies differential HLA associations by clinical and serological subtypes.

Annals of the rheumatic diseases
2022

Expansion of Fcγ Receptor IIIa-Positive Macrophages, Ficolin 1-Positive Monocyte-Derived Dendritic Cells, and Plasmacytoid Dendritic Cells Associated With Severe Skin Disease in Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2022

The Efficacy of a Home-Based, Self-Administered Hand Exercise Program for Patients With Systemic Sclerosis: A Randomized Controlled, Evaluator-Blind, Clinical Trial.

Journal of clinical rheumatology : practical reports on rheumatic &amp; musculoskeletal diseases
2022

Anti-tRNA synthetase syndrome interstitial lung disease: A single center experience.

Respiratory medicine
2021

Circulating Galectin-1 and Galectin-3 in Sera From Patients With Systemic Sclerosis: Associations With Clinical Features and Treatment.

Frontiers in pharmacology
2021

Intensive and app-delivered occupational therapy to improve upper extremity function in early diffuse cutaneous systemic sclerosis: a pilot two-arm trial.

Rheumatology (Oxford, England)
2021

Analysis of PI3K Pathway Associated Molecules Reveals Dysregulated Innate and Adaptive Functions of B Cells in Early Diffuse Cutaneous Systemic Sclerosis.

International journal of molecular sciences
2021

Systemic Sclerosis and Pulmonary Disease.

Advances in experimental medicine and biology
2021

Increased malignancies in our Waikato cohort of patients with systemic sclerosis.

International journal of rheumatic diseases
2021

A randomised, open-label trial to assess the optimal treatment strategy in early diffuse cutaneous systemic sclerosis: the UPSIDE study protocol.

BMJ open
2021

Development of Two Types of Skin Cancer in a Patient with Systemic Sclerosis: a Case Report and Overview of the Literature.

Case reports in oncological medicine
2021

Development of a Musculoskeletal Ultrasound Protocol to Examine Upper Extremity Rehabilitation Outcomes in Systemic Sclerosis.

Journal of diagnostic medical sonography : JDMS
2021

Defining the optimal disease duration of early diffuse systemic sclerosis for clinical trial design.

Rheumatology (Oxford, England)
2021

Lymphocyte subset abnormalities in early diffuse cutaneous systemic sclerosis.

Arthritis research &amp; therapy
2021

Verteporfin inhibits the persistent fibrotic phenotype of lesional scleroderma dermal fibroblasts.

Journal of cell communication and signaling
2021

Finger sweating levels evaluated by video capillaroscopy system are increased in patients with systemic sclerosis compared to pre-clinical stage patients.

Drug discoveries &amp; therapeutics
2021

New composite endpoint in early diffuse cutaneous systemic sclerosis: revisiting the provisional American College of Rheumatology Composite Response Index in Systemic Sclerosis.

Annals of the rheumatic diseases
2021

Prevalence and clinical associations with premature ovarian insufficiency, early menopause, and low ovarian reserve in systemic sclerosis.

Clinical rheumatology
2021

Riociguat: Clinical research and evolving role in therapy.

British journal of clinical pharmacology
2021

Lung transplantation resulted in marked improvement of autoimmunity and scleroderma in diffuse cutaneous systemic sclerosis: a case report.

Rheumatology (Oxford, England)
2021

Tofacitinib as a possible treatment for skin thickening in diffuse cutaneous systemic sclerosis.

Rheumatology (Oxford, England)
2021

Large-Scale Characterization of Systemic Sclerosis Serum Protein Profile: Comparison to Peripheral Blood Cell Transcriptome and Correlations With Skin/Lung Fibrosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2020

Health Assessment Questionnaire-Disability Index (HAQ-DI) use in modelling disease progression in diffuse cutaneous systemic sclerosis: an analysis from the EUSTAR database.

Arthritis research &amp; therapy
2020

Reduced salivary flow and caries status are correlated with disease activity and severity in patients with diffuse cutaneous systemic sclerosis.

The Journal of international medical research
2021

Utilization of Dual-Energy Computed Tomography in Evaluating Calcinosis Cutis in a Patient With Diffuse Cutaneous Systemic Sclerosis.

Journal of clinical rheumatology : practical reports on rheumatic &amp; musculoskeletal diseases
2021

Machine learning integration of scleroderma histology and gene expression identifies fibroblast polarisation as a hallmark of clinical severity and improvement.

Annals of the rheumatic diseases
2020

From "being at war" to "getting back on your feet": A qualitative study on experiences of patients with systemic sclerosis treated with hematopoietic stem cell transplantation.

Journal of scleroderma and related disorders
2020

A randomised, double-blind, placebo-controlled, 24-week, phase II, proof-of-concept study of romilkimab (SAR156597) in early diffuse cutaneous systemic sclerosis.

Annals of the rheumatic diseases
2020

A case of Myhre syndrome mimicking juvenile scleroderma.

Pediatric rheumatology online journal
2020

Mycobacterium avium complex infection in a patient with systemic sclerosis- associated interstitial lung disease: A case report.

Respiratory medicine case reports
2020

Tocilizumab in systemic sclerosis: a randomised, double-blind, placebo-controlled, phase 3 trial.

The Lancet. Respiratory medicine
2020

Rapid skin thickness progression rate is associated with high incidence rate of cardiopulmonary complications in patients with early diffuse cutaneous systemic sclerosis: inception cohort study.

Clinical and experimental rheumatology
2020

Pulmonary mucormycosis following autologous hematopoietic stem cell transplantation for rapidly progressive diffuse cutaneous systemic sclerosis: A case report.

Medicine
2020

Distinct gene network in skin lesion of patients with diffuse cutaneous systemic sclerosis.

Clinical rheumatology
2020

Performance Characteristics of Pulmonary Function Tests for the Detection of Interstitial Lung Disease in Adults With Early Diffuse Cutaneous Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2020

Comparison of the disease activity score and the revised EUSTAR activity index in diffuse cutaneous systemic sclerosis patients.

Clinical and experimental rheumatology
2021

Initial predictors of skin thickness progression in patients with diffuse cutaneous systemic sclerosis: Results from a multicentre prospective cohort in Japan.

Modern rheumatology
2020

Immunosuppressive treatment in diffuse cutaneous systemic sclerosis is associated with an improved composite response index (CRISS).

Arthritis research &amp; therapy
2020

The Doubled-Edged Sword of T1-Mapping in Systemic Sclerosis-A Comparison with Infectious Myocarditis Using Cardiovascular Magnetic Resonance.

Diagnostics (Basel, Switzerland)
2020

Progressive lung fibrosis and mortality can occur in early systemic sclerosis patients without pulmonary abnormalities at baseline assessment.

Clinical rheumatology
2020

Lenabasum for Skin Disease in Patients With Diffuse Cutaneous Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2020

Safety and Efficacy of Lenabasum in a Phase II, Randomized, Placebo-Controlled Trial in Adults With Systemic Sclerosis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2020

Riociguat in patients with early diffuse cutaneous systemic sclerosis (RISE-SSc): randomised, double-blind, placebo-controlled multicentre trial.

Annals of the rheumatic diseases
2021

Clinical course of Japanese patients with early systemic sclerosis: A multicenter, prospective, observational study.

Modern rheumatology
2020

NOTCH3 T6746C and TP53 P72R Polymorphisms Are Associated with the Susceptibility to Diffuse Cutaneous Systemic Sclerosis.

BioMed research international
2020

Drugs in phase I and phase II clinical trials for systemic sclerosis.

Expert opinion on investigational drugs

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Cytometry-based blood immune cell markers associated with clinical outcomes in systemic sclerosis: protocol for a systematic review.
    BMJ open· 2026· PMID 41708172mais citado
  2. Fetal and maternal outcome in the pregnancies of patients with systemic sclerosis and very early diagnosis of systemic sclerosis in France: a prospective study.
    The Lancet. Rheumatology· 2026· PMID 41173018mais citado
  3. Efficacy and Safety of Tofacitinib Compared to Cyclophosphamide in Early Diffuse Cutaneous Systemic Sclerosis: A Randomized Controlled Trial.
    Cureus· 2026· PMID 41809291mais citado
  4. A retrospective analysis of clinical characteristics of systemic sclerosis-associated interstitial lung disease.
    Medicine· 2026· PMID 41790634mais citado
  5. Crowned Dens Syndrome Mimicking Atlantoaxial Infection in a Patient With Systemic Sclerosis: A Case Report.
    Case reports in rheumatology· 2026· PMID 41737885mais citado
  6. Tocilizumab as a Potential Alternative Therapy for Acute Exacerbation of Systemic Sclerosis-Associated Interstitial Lung Disease in a Dialysis Patient Following Immunodeficiency-Associated Lymphoproliferative Disorders.
    Cureus· 2026· PMID 41994749recente
  7. Case Report: Switching secukinumab to bimekizumab in diffuse cutaneous systemic sclerosis after autologous hematopoietic stem cell transplantation: a case follow-up.
    Front Immunol· 2026· PMID 41884839recente
  8. Diffuse Cutaneous Systemic Sclerosis Complicated by Serum Amyloid A Protein Cardiac Amyloidosis and Cardiogenic Shock.
    CJC Open· 2026· PMID 41836129recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:220393(Orphanet)
  2. MONDO:0016356(MONDO)
  3. Esclerose Sistemica(PCDT · Ministério da Saúde)
  4. GARD:9751(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q18554846(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Esclerose sistêmica cutânea difusa
Compêndio · Raras BR

Esclerose sistêmica cutânea difusa

ORPHA:220393 · MONDO:0016356
🇧🇷 Brasil SUS
Geral
Prevalência
1-9 / 100 000
Herança
Multigenic/multifactorial, Not applicable
CID-10
M34.0 · Esclerose sistêmica progressiva
CID-11
Ensaios
19 ativos
Início
Adult
Prevalência
3.8 (Taiwan, Province of China)
MedGen
UMLS
C1258104
EuropePMC
Wikidata
Papers 10a
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