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Systemic sclerosis (scleroderma). A case of recovery of cardiomyopathy after vitamin E treatment
S Morelli1, A Sgreccia, M L Bernardo
1Istituto de I Clinica Medica, Policlinico Umberto I, Università degli Studi di Roma La Sapienza, Viale del Policlinico--001621 Rome, Italy.
Abstract:
A 60-year-old woman with systemic sclerosis, systemic hypertension, and chronic renal failure, presented with clinical manifestations of heart failure. An echocardiogram showed a mildly dilated left ventricle and global hypokinesis. A six-month treatment including reduced sodium intake, furosemide, and nifedipine did not change the clinical and instrumental findings. Casually, vitamin E (600 mg daily) was added. After 6 months, clinical manifestations of heart failure were disappeared and the echocardiogram showed a normally-sized left ventricle with normal wall motion.
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