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[Hypertension in scleroderma: A vital emergency]
D Si Ahmed-Bouali1, F Bouali2, F Haddoum3
1Service de médecine interne, faculté de médecine, université d'Alger 1, Alger Centre, CHU Mustapha, place du 1(er) Mai, Alger, Algérie.
Annales De Cardiologie Et D'Angeiologie
|June 8, 2015
Summary
Arterial hypertension is common in systemic sclerosis, affecting 26.7% of patients. Renal causes, including scleroderma renal crisis, were the most frequent etiologies, highlighting the need for early intervention.
Area of Science:
- Rheumatology
- Nephrology
- Cardiology
Context:
- Systemic sclerosis is a complex autoimmune disease.
- Hypertension in systemic sclerosis often indicates severe renal impairment.
- Early identification and management of hypertension are crucial.
Purpose:
- To determine the frequency of arterial hypertension in systemic sclerosis patients.
- To investigate the etiologies of hypertension in this population.
Summary:
- A prospective study of 60 systemic sclerosis patients found hypertension in 26.7%.
- Renal causes, such as scleroderma renal crisis (SRC) and chronic kidney disease (CKD), accounted for 12 cases.
- Four cases were classified as essential hypertension, and hypertension preceded five SRC cases.
Impact:
- Hypertension is a frequent complication of systemic sclerosis.
- Early detection and management of hypertension are vital, especially in cases of SRC.
- This study underscores the importance of vigilant blood pressure monitoring in systemic sclerosis.
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