RENAL INVOLVEMENT IN SYSTEMIC-SCLEROSIS

被引:22
作者
STEEN, VD
机构
[1] Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA
关键词
D O I
10.1016/S0738-081X(94)90329-8
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Renal crisis occurs in systemic sclerosis patients with rapidly progressive diffuse cutaneous thickening early in their disease course. SRC is characterized by malignant hypertension, hyperreninemia, azotemia, and microangiopathic hemolytic anemia. This complication was almost uniformly fatal but can now be treated successfully in most cases with ACE inhibitors. The result has been improved survival, reduced requirement for dialysis, and even discontinuation of dialysis after 6 to 18 months of treatment. Prompt diagnosis and early aggressive treatment of SRC with ACE inhibitors will result in the most optimal outcome. © 1994.
引用
收藏
页码:253 / 258
页数:6
相关论文
共 25 条
  • [1] LeRoy, Black, Fleischmajer, Jablonska, Krieg, Medsger, Rowell, Wollheim, Scleroderma (systemic sclerosis): classification, subsets and pathogenesis., J Rheumatol, 15, pp. 202-205, (1988)
  • [2] Steen, Epidemiology of systemic sclerosis, Rheum Dis Clin N Amer, 16, 3, pp. 641-654, (1990)
  • [3] Okano, Steen, Medsger, Novel human serum autoantibodies reactive with RNA polymerase III: A major autoantigen in systemic sclerosis with diffuse cutaneous involvement, Ann Intern Med, 119, pp. 1005-1013, (1993)
  • [4] Steen, Medsger, Osial, Ziegler, Shapiro, Rodnan, Factors predicting development of renal involvement in progressive systemic sclerosis, Am J Med, 76, pp. 779-786, (1984)
  • [5] LeRoy, Fleischmann, The management of renal scleroderma: Experience with dialysis, nephrectomy and transplantation, Am J Med, 64, pp. 974-978, (1978)
  • [6] Kovalchik, Guggenheim, Silverman, Robertson, Steigerwald, The kidney in progressive systemic sclerosis: A prospective study, Ann Intern Med, 89, pp. 881-887, (1978)
  • [7] Fleischmajer, Gould, Serum renin and renin substrate levels in scleroderma, Proc Soc Exp Biol Med, 150, pp. 374-379, (1975)
  • [8] McWhorter, LeRoy, Pericardial disease in scleroderma (systemic sclerosis), Am J Med, 57, pp. 566-575, (1974)
  • [9] Lunseth, Baker, Shifrin, Chronic scleroderma with acute exacerbation during corticotropin therapy, Arch Intern Med, 88, pp. 783-792, (1951)
  • [10] Sharnoff, Cardieo, Stein, Cortisone-treated scleroderma, JAMA, 145, pp. 1230-1232, (1951)