A CASE OF SCLERODERMA MISDIAGNOSED AS PULMONARY TUBERCULOSIS

Dilbag Singh*, Amritpal Kaur, Naveen Pandhi, N. C. Kajal, MukulSharma, Srijna

ABSTRACT

Systemic sclerosis (SSc) is a systemic autoimmune disease that is characterised by endothelial dysfunction resulting in a small-vessel vasculopathy, fibroblast dysfunction with resultant excessive collagen production and fibrosis, and immunological abnormalities. We present a case of scleroderma misdiagnosed as a case of pulmonary tuberculosis Antibody profile was done were found to be positive for ANA. She also had most of the classical features of scleroderma on clinical examination thus confirming the diagnosis. A detailed history, clinical examination, radiological examination, and immunological test helped in the diagnosis of the patient. We highlight the importance of suspicion, careful general examination, radiological assessment to confirm the diagnosis of scleroderma misdiagnosed as a case of pulmonary tuberculosis.

Keywords: Scleroderma, Tuberculosis, Anti Nuclear Antibodies, Anti Topoisomerase antibodies.