REVERSAL OF VASCULAR AND RENAL CRISES OF SCLERODERMA BY ORAL ANGIOTENSIN-CONVERTING-ENZYME BLOCKADE

被引:179
作者
LOPEZOVEJERO, JA
SAAL, SD
DANGELO, WA
CHEIGH, JS
STENZEL, KH
LARAGH, JH
机构
[1] QUEENS HOSP CTR,CATHOL MED CTR AFFILIAT,DEPT MED,JAMAICA,NY 11432
[2] CORNELL UNIV,MED CTR,NEW YORK HOSP,ROGOSIN KIDNEY CTR,NEW YORK,NY 10021
关键词
D O I
10.1056/NEJM197906213002505
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
UNTIL successful medical management of scleroderma crisis was reported,1 2 3 4 bilateral nephrectomy was thought to be the only therapy to control this emergency and permit survival.5 6 7 We report here two cases of dramatic reversal of scleroderma vascular and renal crises with the oral angiotensin-converting-enzyme inhibitor SQ 14225 (Captopril).8,9 Case Reports Case 1. Scleroderma was diagnosed in a 33-year-old woman in 1976. In 1977, a hospital evaluation revealed that her blood pressure was 120/80 mm Hg, serum creatinine 0.8 mg per 100 ml, creatinine clearance 86 ml per minute, urinary protein less than 100 mg per 24 hours, plasma renin activity 2.0. © 1979, Massachusetts Medical Society. All rights reserved.
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收藏
页码:1417 / 1419
页数:3
相关论文
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