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Amputations Resulting From Systemic Sclerosis: The Role of Multidisciplinary Cooperation
Rui Sousa1, João Diniz1, Inês Bernardo1
1Physical Medicine and Rehabilitation, Unidade Local de Saúde do Tâmega e Sousa, Penafiel, PRT.
Cureus
|November 25, 2024
Summary
Systemic sclerosis (SSc) management is complex. This case report details a patient requiring limb amputation due to SSc complications, emphasizing multidisciplinary care and rehabilitation for improved outcomes.
Area of Science:
- Rheumatology
- Vascular Surgery
- Rehabilitation Medicine
Background:
- Systemic sclerosis (SSc) is a complex autoimmune disease characterized by microvasculopathy, immune dysregulation, and fibrosis.
- SSc affects multiple organ systems, leading to significant morbidity and challenging treatment paradigms.
- Severe complications, such as progressive gangrene, can necessitate limb amputation.
Observation:
- A 60-year-old male with cutaneous diffuse SSc presented with progressive upper limb gangrene.
- Despite pharmacological and vascular interventions, the patient underwent metacarpophalangeal and transradial amputations.
- A multidisciplinary team guided amputation level determination and post-surgical management.
Findings:
- The patient engaged in a comprehensive rehabilitation program post-transradial amputation.
- Rehabilitation focused on optimizing functional recovery and preparing for prosthetic limb fitting.
- Successful prosthetic fitting and rehabilitation are crucial for quality of life.
Implications:
- This case underscores the critical role of a multidisciplinary approach in managing severe SSc complications.
- Tailored rehabilitation strategies are essential for improving functional outcomes in SSc amputees.
- Early intervention and coordinated care can mitigate the impact of SSc-related tissue necrosis.
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