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La fibrose interstitielle diffuse sclerodermique (FIDS) met en jeu le pronostic vital. La transplantation pulmonaire (TP) ou cardiopulmonaire (TCP) est un espoir. Voici quatre cas avec decision de transplantation.Patiente 1 : Quarante ans, sclerodermie systemique (SS) depuis 17 ans, avec forme cutanee limitee (classement de Leroy), atteinte oesophagienne et pulmonaire cortico- et oxygenodependante...