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Cardiac involvement in scleroderma is often subclinical1–3 and occurs early in the disease.4,5 The myocardium, pericardium and conduction system may be affected, resulting in heart failure or arrhythmia.6 Symptomatic pericarditis occurs in 7–20% of patients, whereas histological involvement has been reported to be as high as 70–80% at autopsy.6
We believe this is the first report of a man with symptomatic sclerodermatous myocarditis in whom the myocarditis resolved after initial pulse cyclophosphamide treatment followed by autologous stem cell transplantation (ASCT).
A 37-year-old mining electrician developed Raynaud’s syndrome, skin thickening and polyarthritis in September 2003. Scleroderma was diagnosed 4 months later. By July 2004, he noted a 22 kg weight loss, night sweats, heartburn, nausea, …
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