CARING FOR PATIENT WITH SCLERODERMA IN LEARNING PROGRAMME IN PRIMARY CARE: A CASE REPORT

INTRODUCTION AND OBJECTIVES: Scleroderma is a disease of unknown etiology that affects the connective tissue, is characterized by dysfunction of fibroblasts, endothelial cells and the immune system that causes changes in skin and some organs. The prevalence is roughly 1 to 9 in 100.000. Report care by medical students in the discipline Learning Programme in Primary Care V patient diagnosed with scleroderma after one year and six months of follow-up. METHODS: Case report. RESULTS AND CONCLUSION: J.M.B, 29, female, born in Paraíba, presenting with swollen infraorbital facial injury law, fibrotic center, hypochromic and erythematous halo, 1 year and six months ago. Referred allodynia and hearing difficulties of the corresponding side of lesion. Four months ago thebiopsy result of lesion diagnosed scleroderma.The patient then started treatment with 30mg Prednisone, 250 mg Imiquimod and 1% Hydrocortisone topic. Physical examination: ciliary alopecia in the right eye; Facies edema (++ / ++++) in right infraorbital region, lesion with fibrotic, hypochromic center and erythematous halo with regular boundary atrophy, palpation of the region is rigid and indolor. Other findings: anasarca and arthralgia. The conduct of this patient was the routine test ordering, thyroid ultrasound and maintenance of medications. Therefore, there is the necessity to promote early diagnosis in primary attention and more efficient multidisciplinary therapeutic management of low prevalence of disease in order to reduce negative impacts on everyday psychosocial and labor relations of these carriers.