After two months of this therapeutic regimen, upon slight exertion the patient began to experience dyspnea which was associated with a nonproductive cough, sclerodactyly, Raynauds phenomenon and telangiectasia of the chest, back and extremities.
Después de dos meses de mantener el esquema terapéutico propuesto, la paciente inicia con disnea de pequeños esfuerzos asociada a tos no productiva, telangiectasias en tórax, dorso, extremidades, esclerodactilia y fenómeno de Raynaud.