Itch

Itch is a common problem in the care of scleroderma patients. It is associated with considerable disability, affecting sleep, well-being, and exacerbating depressive moods. A practical approach from a dermatologist’s perspective will be presented, with sp

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Marco Matucci-Cerinic Christopher P. Denton Editors

Practical Management of Systemic Sclerosis in Clinical Practice

In Clinical Practice

Taking a practical approach to clinical medicine, this series of smaller reference books is designed for the trainee physician, primary care physician, nurse practitioner and other general medical professionals to understand each topic covered. The coverage is comprehensive but concise and is designed to act as a primary reference tool for subjects across the field of medicine. More information about this series at http://www.springer. com/series/13483

Marco Matucci-­Cerinic  Christopher P. Denton Editors

Practical Management of Systemic Sclerosis in Clinical Practice

Editors

Marco Matucci-Cerinic University of Florence Firenze, FI Italy

Christopher P. Denton University College London Royal Free Hospital London UK

ISSN 2199-6652     ISSN 2199-6660 (electronic) In Clinical Practice ISBN 978-3-030-53735-7    ISBN 978-3-030-53736-4 (eBook) https://doi.org/10.1007/978-3-030-53736-4 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

1 Major Scleroderma Emergencies���������������������������������   1 Voon H. Ong and Christopher P. Denton 2 Scleroderma Renal Crisis ���������������������������������������������  15 Marie Hudson, Cybele Ghossein, and John Varga 3 Anemia and Thrombocytopenia�����������������������������������  25 Gianluca Bagnato and Daniel E. Furst 4 Breathlessness�����������������������������������������������������������������  41 Celine Ward, Katherine C. Silver, and Richard M. Silver 5 Itch����������������������������������������������������������������������������������