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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Published on: June 16, 2020

Familial progressive systemic scleroderma.

R E Greger, R E Greger

    Archives of Dermatology
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    This study investigated progressive systemic scleroderma in a highly inbred community, finding a significantly higher mortality rate. The findings suggest a probable genetic predisposition for scleroderma within this isolate.

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    Area of Science:

    • Genetics
    • Rheumatology
    • Epidemiology

    Background:

    • Progressive systemic scleroderma is a complex autoimmune disease with a poorly understood hereditary component.
    • Familial cases of scleroderma are rare, making the investigation of genetic factors challenging.
    • The Brandywine triracial isolate, a highly inbred community, presents a unique population for studying genetic predispositions.

    Purpose of the Study:

    • To investigate the occurrence and potential genetic factors of progressive systemic scleroderma within the Brandywine triracial isolate.
    • To assess the mortality rate of scleroderma in this isolate compared to the general population.

    Main Methods:

    • Case study of three patients from the Brandywine triracial isolate presenting with scleroderma.
    • Analysis of clinical manifestations including skin changes, Raynaud phenomenon, and organ involvement.
    • Comparison of scleroderma mortality rates between the isolate and the general population.

    Main Results:

    • Two of the three patients, a father and son, exhibited similar clinical features of scleroderma.
    • The observed mortality rate for scleroderma in the Brandywine isolate was at least 250 times higher than in the general population.
    • The isolate has high gene frequencies for sickle cell anemia and oculocutaneous albinism, indicating a history of inbreeding.

    Conclusions:

    • The high mortality rate and familial occurrence suggest a probable genetic predisposition for scleroderma in the Brandywine triracial isolate.
    • Further research into the genetic basis of scleroderma within this population is warranted.
    • This isolate serves as a valuable resource for understanding the hereditary aspects of scleroderma.