Mina T Kelleni
Progressive systemic sclerosis (PSS) is an autoimmune generalized connective tissue disease that affects the skin as well as internal organs. I report a 4 years old Egyptian female patient who is suffering from PSS for more than one and a half years. A peculiar clinical picture has deceived some clinicians at an early stage and a quite rapid progression has dramatically deteriorated the condition. A synopsis of the drugs which are being used in her treatment in Egypt compared to the international approach is also demonstrated in this case.