A woman with systemic sclerosis has mild exertional breathlessness, normal resting oxygen saturation and no oedema. Which surveillance strategy is

Question

A woman with systemic sclerosis has mild exertional breathlessness, normal resting oxygen saturation and no oedema. Which surveillance strategy is most appropriate even when symptoms are subtle?

Accepted Answer

Screen for PAH and ILD with complementary cardiopulmonary tests

Answer

Use annual creatine kinase and investigate the lungs if skeletal myositis develops

Answer

Use resting oxygen saturation and investigate further after a sustained fall

Answer

Use HRCT and investigate PAH after parenchymal lung disease has been excluded

Answer

Use echocardiography and investigate ILD after a pulmonary-pressure abnormality develops

MCTD Complications Monitoring — SCE Rheumatology MCQ

A woman with systemic sclerosis has mild exertional breathlessness, normal resting oxygen saturation and no oedema. Which surveillance strategy is most appropriate even when symptoms are subtle?