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Updated: Oct 1, 2025
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Interstitial lung disease in Indonesian adult with systemic sclerotic: A rare case
Adhitri Anggoro1, Helmia Hasan1
1Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Background:
Systemic Sclerotic (SSc) with interstitial lung disease (ILD) is a rare autoimmune case. In Indonesia, SSc-ILD cases are still not widely reported.
Case Presentation:
A 43-year-old female complained fever, yellow phlegm, and shortness of breath for 1 week. The evaluation results based on the American College of Rheumatology and European League Against Rheumatism (ACR EULAR) classification criteria for systemic sclerosis showed a score of 17. The patient received Methylprednisolone 8 mg tab/8 hours, Meropenem 1 gr/8 hours, Ranitidine 50 mg/12 hours, Metoclopramide 10 mg/8 hours, KSR 600 mg tab/8 hours, Paracetamol 500 mg tab/8 hours, VIP albumin 500 mg tab/8 hours, and Folic acid 400 mg tab/8 hours. The patient underwent high resolution computer tomography (HRCT). A chest scan obtained SSc-ILD. Sputum culture results did not reveal Mycobacterium tuberculosis.
Discussion:
SSc-ILD patients in endemic tuberculosis need to be examined for GeneXpert and sputum culture. The HRCT scan is more helpful in diagnosing SSc-ILD than bronchoalveolar lavage (BAL).
Conclusion:
The HRCT is one of the gold standards in establishing the diagnosis of SSc-ILD.
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