Digital Ischemia in Scleroderma Spectrum of Diseases
Author(s) -
Elena Schiopu,
Ann Impens,
Kristine Phillips
Publication year - 2010
Publication title -
international journal of rheumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.8
H-Index - 33
eISSN - 1687-9279
pISSN - 1687-9260
DOI - 10.1155/2010/923743
Subject(s) - scleroderma (fungus) , medicine , fibrosis , etiology , pathogenesis , extracellular matrix , ischemia , disease , endothelial dysfunction , thrombosis , pathology , autoimmune disease , cardiology , biology , inoculation , microbiology and biotechnology
Systemic Sclerosis (Scleroderma, SSc) is a disease of unknown etiology characterized by widespread vasculopathy and extracellular matrix deposition leading to fibrosis and autoimmune processes. Digital ischemia (digital ulcers (DUs)) is the hallmark of SSc-related vasculopathy and is characterized by endothelial dysfunction leading to intimal proliferation and thrombosis. It happens frequently (30% of the patients each year) and it is associated with significant morbidity. This paper summarizes the current information regarding pathogenesis, definitions, management, and exploratory therapies in DUs associated with SSc.
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