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1: Scand J Rheumatol. 2007 Jan-Feb;36(1):68-70.Click here to read Links

Systemic sclerosis sine scleroderma associated with Wolff-Parkinson-White syndrome.

Park YW, Woo H, Yoon HJ, Park HW, Cho JG, Shin SS, Lee SS.

Department of Rheumatology, Chonnam National University Medical School, University Hospital, 8 Hak-Dong, Dong-Ku, Gwangju 501-757, Republic of Korea. ppaarrkkyw@empal.com

The term "systemic sclerosis sine scleroderma" (ssSSc) has been used to designate a rare progressive systemic sclerosis of visceral organs without skin manifestations. A variety of visceral organs, including the gastrointestinal tract, lung, heart, and kidney, can be involved. We describe a case of 59-year-old female patient with both Wolff-Parkinson-White (WPW) syndrome and ssSSc. She was diagnosed as having ssSSc with Raynaud's phenomenon, anti-nuclear antibody (ANA) and anti-topoisomerase antibody positivity, interstitial pulmonary infiltrates, suspected pulmonary hypertension, subclinical oesophageal dysmotility but no skin thickening. She had a history of paroxysmal tachycardia together with Raynaud's phenomenon and exercise-induced dyspnoea. Electrophysiological study confirmed WPW syndrome with left posterior bypass tract. This case highlights cardiac arrhythmia caused by WPW syndrome as a clinical manifestation of the heart in ssSSc.

PMID: 17454939 [PubMed - indexed for MEDLINE]