Systemic sclerosis and reflux

April 17, 2013
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Dysphagia Clinic

MII-pH testing with impedance-based symptom association may improve diagnostic accuracy in patients with systemic sclerosis and reflux.

A 47-year-old woman with systemic sclerosis was seen for complaints of heartburn, regurgitation, and a paroxysmal, nonproductive cough that worsened at night. Her systemic sclerosis symptoms included calcinosis, Reynaud phenomenon with recurrent digital ulcers, and mild interstitial lung disease. She also had solid food dysphagia with food regurgitation, especially noted with physical activity. Allergy and pulmonary testing were negative for etiology.

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