Background: Systemic Sclerosis (SSc) is an autoimmune condition characterized by widespread skin fibrosis and/or end-organ damage. Previous studies have reported variable outcomes of the disease process, with males and patients of certain ethnicities suffering from the severe form of the disease leading to end-organ damage and an increase in mortality (1,2). The aim of this [...]

Case Presentation: A 62-year-oldwoman with heart failure with preserved ejection fraction (HFpEF) presented with one week of worsening shortness of breath, bilateral lower extremity edema, and poor oral intake. Over the past year, the she had increasing early satiety resulting in a 93-pound weight loss and progressively decreasing exercise tolerance. She noted dry eyes, dry [...]

Case Presentation: A 62-year-old female presented with a two-week history of exertional dyspnea, orthopnea, lower extremity edema, and headaches. She had puffy hands, diffuse joint pain, and skin thickening which limited range of motion of her wrists, elbows, ankles, and knees. She was hypertensive with rales and moderate edema to the knees bilaterally. BNP and [...]