TN0724 SCLERODERMA
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
SKIN TIGHTNESS, EPIGASTRIC DISCOMFORT, DISCOLOURATION OVER FINGER TIPS	CLINICAL PHOTO, SEROLOGICAL EVIDENCE	TOTAL BED DAYS		20
		BEDS IN ICU
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory	includes clinical photo, CBC,
			SEROLOGY		mandatory
			Imaging studies			HRCT, CXR, ECHO
			PFT
			SKIN BIOPSY AND HISTOLOGY
		TREATMENT	I.V PENICILLAMINE / STEROIDS IMMUNOSUPPRESSION	50	mandatory
			OTHER relevant DRUGS & SUPPORTIVE CARE
			TREATMENT OF PULMONARY HYPERTENSION