Medical follow-up for Systemic Sclerosis 3.67/5 (3)

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Annual Specialist Control (Rheumatologist) / Follow-up

Disease history

New symptoms

  • Eyes (dryness)
  • Mouth and throat (dryness)
  • Esophagus (swallowing problem, acid reflux)
  • Heart (Pain, Irregular heart rate, Dyspnoea, Edema)
  • Lungs (cough, dyspnoea)
  • Kidneys (Edema, high blood pressure)
  • Skin
  • Raynaud's phenomenon
  • Stomach / Intestine
  • Weight loss last year



  • Auscultation of the heart (Imagery)
  • Auscultation of the lungs (Basalt crepes)
  • Blood pressure and heart rate (rhythm and frequency)
  • Dyspnea
  • Weight and height
  • Edema

Blood and urine

  • cell counts
  • Electrolytes (Sodium, Potassium, Calcium)
  • Liver and kidney function tests
  • albumin
  • Pro-BNP
  • In case of weight loss or other suspicion of reduced nutrition
    • albumin
    • Vitamin D
    • Folic acid
    • Transfer step saturation (iron uptake)
    • Vitamin B12
  • Urine Sticks (erythrocytes, protein, nitrite, glucose)

Physical function

  • 6 minutes walking test


  • ECG
  • Echocardiography to rule out pulmonary hypertension (PAH)



  • Lung Function Tests (LFT)
    • If FVC has been reduced by more than 10% or DLCO by more than 15%, further investigation with HRCT of the lungs is applicable
  • HRCT examination if markedly reduced LFT

First time survey

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