Case Report: Reynolds Syndrome

Abstract

Eduardo Garzon Aldas, Donoso Gabriela Torres

Reynolds et al described in 1971, 6 patients with classical primary biliary cirrhosis who presented concomitantly with varying degrees of scleroderma. Since then this association has been called Reynolds Syndrome, being clearly documented over the years. This disease is more common in women and it presents as a systemic scleroderma localized type CREST (calcinosis, Raynaud’s phenomenon, alterations in esophageal motility, sclerodactyly and telangiectasia). To establish this diagnosis is not necessary to gather all the elements, only with two can already diagnose an incomplete CREST [1]. The liver symptoms are almost unnoticed by patients and if they are well tolerated, this is the reason why the medical consultation is delayed [2]. Due to the fact that it is a rare and underdiagnosed disease, we present the case of a female patient who consulted for lesions in the skin compatible with scleroderma, and subsequently, during the study, hepatic alterations were found. We came to the conclusion of the diagnosis of Reynolds syndrome.

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