2025-11-272025-11-27http://hdl.handle.net/2263/106591Clinical history : A 58 year old male with an 8 year history of sclerodermia and complained of dyspagia and dilation of the eosophagus.The patient underwent a pleural effusion on the left and later developed oliguria and silicosis.Autopsy findings : 1. Systemic sclerosis.2. Complication of the eosophagus, kidneys, lungs and heart.3. Bilateral cortical renal necrosis.4. Tuberculo-silicosis of the lungs.Diagnosis: Systemic sclerosis with cortical necrosis