Systemic rheumatic disease may present with a variety of manifestations in the head and neck regions. Especially important among these are the dermatologic findings of SLE, DM, and scleroderma. Rashes characteristic of these disorders may also arise later in the course of the diseases. Some of the more frequently reported manifestations to be aware of are autoimmune hearing loss, especially in SLE; esophageal dysmotility in scleroderma; oropharyngeal and esophageal involvement in DM/PM; and keratoconjunctivitis sicca and cervical spine involvement in RA.
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