eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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1/2024
vol. 33
 
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abstract:
Case report

Localised scleroderma and ischemic stroke: case report

Bünyamin Tosunoğlu
1
,
Hafize Nalan Güneş
1
,
Burcu Gökçe Çokal
1
,
Selda Keskin Güler
1

  1. Ankara Training and Research Hospital, Ankara, Turkey
Adv Psychiatry Neurol 2024; 33 (1): 35–38
DOI: https://doi.org/10.5114/ppn.2023.134450
Online publish date: 2024/01/18
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Purpose
Scleroderma is a multisystemic disorder characterised by inflammatory and vascular anomalies, and excess fibrosis. Progressive systemic sclerosis (PSS) mainly progresses with skin, joint, lung, heart, and kidney involvement. Involvement of cerebral vessels is rare in both localised scleroderma and PSS. Transient ischemic attack and stroke are rare complications of scleroderma.

Case description
We present a 60-year-old stroke patient with localised scleroderma presenting with impaired speech, forgetting words, and occasional temporary memory loss.

Comment
In the case we present, no pathology was found in the clinical and laboratory tests performed in terms of ischemic risk factors. Skin findings included contracture, skin biopsy results, and antibody positivity related to scleroderma. Given the current pathogenesis of scleroderma, the patient was suspected of having a stroke.

keywords:

stroke, sclerosis, localized, amnesia, scleroderma
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