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Updated: Nov 18, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Pulmonary arterial hypertension in systemic sclerosis
Benoît Lechartier1, Marc Humbert2
1Lausanne University Hospital, Department of Respiratory Medicine, Lausanne, Switzerland.
Systemic sclerosis (SSc) can lead to pulmonary arterial hypertension (PAH), a severe complication. Early diagnosis and novel treatments targeting pulmonary vascular remodeling are crucial for managing SSc-PAH.
Area of Science:
- Cardiology
- Rheumatology
- Pulmonology
Background:
- Pulmonary arterial hypertension (PAH) is a severe complication of systemic sclerosis (SSc).
- It arises from combined vasculopathy and fibrogenesis, posing diagnostic and therapeutic challenges.
- Expert PAH center referral is essential for timely management.
Purpose of the Study:
- To highlight the challenges in early diagnosis and treatment of SSc-PAH.
- To underscore the need for evolving diagnostic algorithms.
- To emphasize the requirement for novel therapeutic strategies targeting pulmonary vascular remodeling.
Main Methods:
- Review of current diagnostic algorithms for SSc-PAH.
- Analysis of therapeutic options for pulmonary vascular remodeling.
- Discussion of challenges in early detection and management.
Main Results:
- SSc-PAH diagnosis and treatment remain challenging.
- Diagnostic approaches have evolved over the past decade.
- There is an unmet need for innovative treatments.
Conclusions:
- Effective management of SSc-PAH requires early diagnosis and expert care.
- Advancements in diagnostic tools are ongoing.
- Novel therapies targeting pulmonary vascular remodeling are essential for improving outcomes in SSc-PAH patients.
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