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
来源：
CLINICS IN DERMATOLOGY | 1994年 / 12卷 / 02期
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.
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收藏
页码：253 / 258
页数：6
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