Without Warning: Scleroderma Renal Crisis

The patient’s disease had yet to be diagnosed when a complication emerged in dramatic fashion. A 44-year-old man of Indian descent presented to an outside hospital after having suffered a seizure at work. He had no previous history of seizures. His family and coworkers denied precipitating events or a history of illicit drug use. He presented with altered mental status, and his blood pressure was 255/154 mmHg.

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