Management of Raynaud's phenomenon and digital ischemic lesions in scleroderma

被引:64
作者
Hummers, LK [1 ]
Wigley, FM [1 ]
机构
[1] Johns Hopkins Univ, Div Rheumatol, Baltimore, MD 21205 USA
关键词
D O I
10.1016/S0889-857X(03)00019-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Raynaud's phenomenon, in the setting of scleroderma, is a complex and frustrating problem, which may lead to significant morbidity. The vasospastic process is coupled with marked intrinsic vascular disease that is characterized by endothelial dysfunction, intimal proliferation, smooth muscle activation, and platelet aggregation. Management of Raynaud's in patients who have scleroderma involves consideration of this complex vascular process. An approach to therapy, including novel treatments, is presented.
引用
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页码:293 / +
页数:22
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