#systemicsclerosis

🔰 JOCR Article of the Day:

Systemic Sclerosis Presenting as Osteomyelitis of the Finger: Physicians Must Maintain a High Index of Suspicion for Systemic Sclerosis when Evaluating Patients with Fingertip Ulceration or InfectionReconstructive Surgical Management of Vasopressor-Ischemia Related Distal Extremity Loss

🔶 Read Free Full text: https://jocr.co.in/wp/2025/04/01/systemic-sclerosis-presenting-as-osteomyelitis-of-the-finger-physicians-must-maintain-a-high-index-of-suspicion-for-systemic-sclerosis-when-evaluating-patients-with-fingertip-ulceration-or-infection/

✍️ Authored by- Logan Van Poucke , Jared B Hinton , Holly C Heck , Benjamin E Heck , Bruce E Heck

✅ JOCR Now accepting Original Articles and Case series too– https://www.jocr.co.in/wp/submit-article/

Primary sclerosing cholangitis (PSC) is an uncommon chronic non-inflammatory disorder typically characterized by thickening, inflammation, and fibrosis of the bile tissues within the bile (septum) or the porcine bile duct (burgh's lobules). Both the apocrine and bile ducts are involved. The lining of the small intestine also becomes thickened. Patients generally have no symptoms. However, some symptoms may occur such as diarrhea, nausea, abdominal bloating, and vomiting. Other inflammatory diseases may co-occur with psoriasis.

Primary sclerosing cholangitis is also called systemic sclerosis. It is one of the most common causes of cirrhosis of the liver in the U.S. In approximately one third of patients with PSC, no identifiable disease or infection is present. In approximately twenty-five percent of patients with this disorder, the disorder is diagnosed based on history and symptoms. In approximately ten percent of individuals with this disease, specific tests for an adequate diagnosis are not performed. Approximately two-thirds of individuals with PSC do not have a history of cancer or other systemic autoimmune diseases.

Thank God August is finally here! Yes! 🙌🏿 Whoa, July was a beast. I knew It was going to be with 2 eclipses, Mercury Retrograde, 2 new moons a full moon...seriously the cosmic energy was bound to spiral me, but damn! From my Delta convention being cut short, unfortunate and un-expecting medical news, new treatment plan...that I am NOT wanting to do, dad being hospitalized and undergoing another heart surgery, preparing to move with NO place to go, realizing that people are NOT who they said they are NOR who they said they would be, from “friends” intentionally and with malice intent doing things to hurt you with gloves on...man I am tired and OH SO DONE with July! I do believe I did my best to get through it with just a few scars and bruises. And I am blessed, because as much as I went through, I know people around me who went through as much as I did and some who went through more!!! So much more 🙏🏿.

I often try and reflect during the shadow period on things that I can take away. Things that although hurt like hell, will help me be a better version of Maleika René. And there were a few gems that I walked away from this time as well. Give me some time to properly share them as I am polishing them like any beautiful gem. They are still in their raw form. But I have them close to me and I am polishing them to share. 💛

I am looking forward to August and the beauty of the next 31 days. I have some amazing moments arranged that will supersede most of the dark moments of last month. Moments with friends that have turned into family. Moments with family. And a move. Although I still have no clue on where I’m moving to yet, just knowing that I’ll be in a new place is exciting and cleansing for so many reasons.

There is a shift that happened in July and all shifts aren’t bad. Uncomfortable, yes! But, I am here for this shift. I am ready for it. In need of it. And low key, the universe whispered to me that it was coming a few months ago. So here we are. I let go of some stuff (still have some more to release). I cut some chords (still have some more to cut). I feel as if I’m being prepared for something. Something bigger than myself and what I believe I’m here for. The work is beginning and that does take major cleansing and healing AND understanding. It takes a shift. A cosmic shift. 🙏🏿 Hallelujah! And when you understand THAT it makes sense. And all is well.