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Anesthetic Management of a Patient With Systemic Sclerosis and Microstomia
Yoshiki Shionoya DDS, PhD,
 Hatsuko Kamiga DDS,
 Gentarou Tsujimoto DDS, PhD,
 Eishi Nakamura DDS,
 Kiminari Nakamura DDS, PhD, and
 Katsuhisa Sunada DDS, PhD
Article Category: Case Report
Volume/Issue: Volume 67: Issue 1
Online Publication Date: Jan 01, 2020
DOI: 10.2344/anpr-66-03-07
Page Range: 28 – 34

arrhythmias associated with myocardial fibrosis. 1 Interstitial pneumonia due to pulmonary fibrosis develops in approximately 80% of patients with SSc, 2 so restrictive lung disease is commonly found in these patients. Currently, the most common cause of death in patients with SSc is pulmonary fibrosis. 3 Seventy percent of patients with SSc also develop microstomia secondary to fibrosis of the facial skin and oral mucosa. These patients can have increased discomfort during dental treatment because of the microstomia, which can necessitate excessive stretching of the

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; Preoperative chest radiograph showing reticular shadows (arrowheads) in both lower lung fields.
Yoshiki Shionoya,
 Hatsuko Kamiga,
 Gentarou Tsujimoto,
 Eishi Nakamura,
 Kiminari Nakamura, and
 Katsuhisa Sunada

Preoperative chest radiograph showing reticular shadows (arrowheads) in both lower lung fields.