Iron therapy as a novel treatment of scleroderma-related pulmonary hypertension: A case report and literature review

被引:3
作者
Neumann, Melissa [1 ]
Wong, Karen A. [2 ]
Lazo, Kevin [2 ]
Stover, Diane [2 ]
机构
[1] Northwell Hlth, Dept Med, 300 Community Dr, Manhasset, NY 11020 USA
[2] Mem Sloan Kettering Canc Ctr, Pulm Serv, New York, NY USA
关键词
iron therapy; pulmonary arterial hypertension; pulmonary hypertension; scleroderma; systemic sclerosis; ARTERIAL-HYPERTENSION; DEFICIENCY;
D O I
10.1002/rcr2.904
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Pulmonary arterial hypertension (PAH) is the leading cause of death in patients with systemic sclerosis (SSc), with a 3-year mortality of 40%-50% despite optimal therapy. Treatment mirrors that of idiopathic PAH and is often ineffective. This is a case report of a patient with SSc evaluated for progressive dyspnoea with exertion and found to have elevated pulmonary artery systolic pressures (PASPs). She received ferritin-targeted iron infusions as a novel treatment of suspected SSc-associated PAH, with subsequent resolution of respiratory symptoms and PASPs that normalized. We review PAH especially associated with SSc, its treatment and identify a possible novel therapeutic approach for those with PAH-SSc.
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页数:4
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