ABSTRACT Systemic sclerosis classified to limited and diffuse types. Skin and visceral involvement is more sever and progressive in diffuse form and also pericardial effusion is more frequent in diffuse type of disease. There is only few case reports of symptomatic pericardial effusion in limited type. In this article we represented a case of limited systemic sclerosis (scleroderma) who hospitalized with chief complaint of dyspnea and diagnosed as a case of limited scleroderma with massive pericardial effusion. The patient received treatment and responsed to it.

Keywords: 1) Systemic sclerosis 2) Limited scleroderma 3) Pericardial effusion

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