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[Renal involvement in systemic sclerosis].

S Guerini1, I Cavazzana, C Venturelli

  • 1Cattedra e Divisione di Nefrologia, Università e Spedali Civili, Brescia.

Giornale Italiano Di Nefrologia : Organo Ufficiale Della Societa Italiana Di Nefrologia
|July 31, 2007
PubMed
Summary
This summary is machine-generated.

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Systemic sclerosis can cause kidney problems like renal crisis, affecting 10-40% of patients. Early monitoring of renal function is crucial, especially for those with diffuse skin disease, as kidney involvement worsens prognosis.

Area of Science:

  • Nephrology
  • Rheumatology
  • Autoimmune Diseases

Context:

  • Systemic sclerosis is an autoimmune disease causing fibrosis.
  • Raynaud's phenomenon often precedes other symptoms.
  • Classified into limited and diffuse forms based on skin and organ involvement.

Purpose:

  • To describe the spectrum of renal involvement in systemic sclerosis.
  • To highlight the clinical presentations and outcomes of renal complications.
  • To emphasize the importance of monitoring renal function in these patients.

Summary:

  • Renal disease affects 10-40% of systemic sclerosis patients, most commonly as renal crisis (acute renal failure, hypertension).
  • Other renal manifestations include chronic nephropathy, penicillamine-induced nephrotic syndrome, and ANCA-associated glomerulonephritis.

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  • Despite ACE inhibitor treatment, 20-50% of renal crisis patients progress to end-stage renal disease.
  • Impact:

    • Renal involvement in systemic sclerosis is associated with a worse prognosis.
    • Close monitoring of blood pressure, urine, and renal function is essential, particularly in diffuse systemic sclerosis.
    • Evidence supports prostacyclin derivatives, antifibrotic, and immunosuppressive drugs, alongside ACE inhibitors for renal crisis, as disease-modifying therapies.