Evaluation of hypertension in systemic sclerosis and systemic lupus erythematosus overlap

被引：1

作者：

Chew, Erin ^{[1
]}

Barnado, April ^{[1
]}

Ikizler, Talat Alp ^{[2
,3
]}

Zent, Roy ^{[2
,3
]}

Frech, Tracy ^{[1
,3
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Rheumatol & Immunol, 21st Ave,MCN-3113, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Med Ctr, Dept Med, Div Nephrol & Hypertens, Nashville, TN USA

[3] Tennessee Valley Healthcare Syst, Vet Affair Med Ctr, Nashville, TN USA

来源：

JOURNAL OF SCLERODERMA AND RELATED DISORDERS | 2023年 / 8卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Systemic sclerosis; systemic lupus erythematosus; hypertension; renal crisis; 2013 CLASSIFICATION CRITERIA; SCLERODERMA RENAL CRISIS; MICROVASCULAR DAMAGE; ARTERY STENOSIS; VASCULOPATHY; ANTIBODIES; VASCULITIS; DIAGNOSIS; DISEASE; BIOPSY;

D O I：

10.1177/23971983221122673

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patients with systemic sclerosis and systemic lupus erythematosus serologies present a unique challenge to the clinician when hypertension is detected in the outpatient setting. Treatment choices for non-renal crisis hypertension are different for systemic sclerosis versus systemic lupus erythematosus. Urgent laboratory studies and, in the presence of certain symptoms, imaging assessment are indicated in systemic sclerosis and systemic lupus erythematosus overlap patients with systemic hypertension. Long-term assessment of systemic hypertension may be enhanced by advances in non-contrast imaging that serve as valuable biomarkers for progressive vasculopathy. In this review, the diagnostic approach to systemic sclerosis and systemic lupus erythematosus overlap patients presenting with hypertension is discussed.

引用

页码：14 / 19

页数：6

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