Abstract
Systemic sclerosis may be defined as an autoimmune connective tissue disease that is extremely heterogeneous in its clinical presentation, affecting several other organs or systems and following a variable and unpredictable course. The gastrointestinal tract is the second most commonly involved system after the skin and the most common manifestations are decreased esophageal motility, lower esophageal sphincter hypotonia, and gastroesophageal reflux disease. However, in this report, we present a case about a patient with atypical manifestations such as upper esophageal sphincter hypertonia and aperistalsis of the esophageal body. Owing to the diverse clinical manifestations, recognizing the disease can be difficult; therefore, it is a diagnostic challenge within the field of autoimmune rheumatic diseases. Through this case report, we aim to add more information about the disease and its complications and reinforce the need for early diagnosis and a therapeutic plan to improve the quality of life of patients with this disease.
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