Scleroderma association with hypertension in primary health care: a case report

INTRODUCTION AND OBJECTIVES: The Scleroderma (SSc) is a disease characterized by inflammation, fibrosis and autoimmune response causing skin changes and in some organs. Renal involvement is a complication of great importance, most patients initially presenting renal dysfunction minor, 50% had systemic arterial hypertension (SAH) and about 10% develop renal crisis that mimics malignant hypertension, which can lead to severe kidney failure. Report patient in the discipline Learning Programme in Basic Attention V patient diagnosed with hypertension difficult to control and SSc. METHODS: Case report. RESULTS AND CONCLUSION: J.M.B, female, 29, born in Paraíba, returns after performing biopsy 4 months ago diagnosed with SSc, treatment with 30 mg Prednisone ,250 mg Imiquimod and 1% Hydrocortisone. She‘s SAH of difficult control bearer for 4 years using 25 mg Hydrochlorothiazide , 50 mg Atenolol , 0.5 mg Anlodipine besilate. She attended consultation with abdominal tomography and ultrasound Doppler of the urinary tract that showed no significant differences. The Physical examination revealed good general condition, Blood Pressure = 130 / 80mmHg; BMI = 27.98, Height = 1,51m, Weight = 63,8kg. The conduct was referral to a nutritionist for the control of body weight, and the nephrologist for kidney research involvement in the etiology of SAH. So, the main goal of primary attention is prevention and health promotion, all patients with SSc with some degree of renal dysfunction, should be investigated in order to modify disease progression and improve quality of life.