Document Detail


Clinical and laboratory features of scleroderma patients with pulmonary hypertension.
MedLine Citation:
PMID:  11085808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Pulmonary hypertension (PH) is a frequent cause of death in patients with systemic sclerosis (SSc). In this study, we examined the occurrence of PH and investigated the clinical and laboratory features of SSc patients with PH. METHODS: A cross-sectional study of 125 Japanese patients with SSc was conducted using Doppler echocardiography, other multiple cardiopulmonary tests, and laboratory examination. RESULTS: PH (systolic pressure >40 mmHg) was diagnosed in 20 patients (16%) by Doppler echocardiography. In the six patients who had secondary pulmonary hypertension (SPH), PH was due to severe pulmonary fibrosis; 14 patients had isolated pulmonary hypertension (IPH). An elevated erythrocyte sedimentation rate (ESR) and increased immunoglobulin G (IgG) were found in a significantly greater proportion of the patients with PH than in those without PH. The incidence of pitting scars/ulcers was significantly greater in the patients with SPH than in those without PH. CONCLUSION: Elevated ESR and increased IgG were common features of scleroderma patients with PH, and scleroderma patients with SPH were inclined to have pitting scars/ulcers.
Authors:
K Yamane; H Ihn; Y Asano; N Yazawa; M Kubo; K Kikuchi; Y Soma; K Tamaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  39     ISSN:  1462-0324     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-08     Completed Date:  2000-12-22     Revised Date:  2007-09-06    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1269-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Dermatology, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure
Blood Sedimentation
Cicatrix / epidemiology,  ultrasonography
Cross-Sectional Studies
DNA Topoisomerases, Type I / immunology
Echocardiography, Doppler
Female
Humans
Hypertension, Pulmonary / epidemiology*,  ultrasonography*
Immunoglobulin G / blood
Incidence
Male
Middle Aged
Pulmonary Fibrosis / epidemiology,  ultrasonography
Scleroderma, Systemic / epidemiology*,  ultrasonography*
Chemical
Reg. No./Substance:
0/Immunoglobulin G; EC 5.99.1.2/DNA Topoisomerases, Type I

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