Abnormalities of Renal Physiology in Systemic Sclerosis
β Scribed by Philip J. Clements; Peter A. Lachenbruch; Daniel E. Furst; Morton Maxwell; Gabriel Danovitch; Harold E. Paulus
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 753 KB
- Volume
- 37
- Category
- Article
- ISSN
- 0004-3591
No coin nor oath required. For personal study only.
β¦ Synopsis
To evaluate the prognostic value of measurements of renal plasma flow and circulating vasoactive hormones in patients with systemic sclerosis (SSc).
Methods. Renal plasma flow (para-aminohippurate [PAH] clearance) and levels of selected circulating hormones (plasma renin activity [PRA] and serum aldosterone and catecholamines) were assessed in 57 SSc patients under the following conditions: at rest, in response to cold, while in upright position, and in response to sodium depletion. Survival was assessed 10.7 years after testing (20 patients had died).
Results. Both unstimulated and stimulated PRA clearance rates were frequently elevated. Resting PAH clearances were usually abnormally low. PAH clearances and levels of aldosterone and catecholamines did not change during cold stimulation.
π SIMILAR VOLUMES
## Abstract Abnormalities of pulmonary function were studied in 10 patients with progressive systemic sclerosis (PSS) and 3 control subjects. All underwent ^81^M krypton lung scanning and total body gallium scanning. Immune complexes were measured by Raji cell radioβimmunoassay and polyethylene gly
## Abstract Nailfold capillary abnormalities in 42 consecutive patients with systemic sclerosis were studied by widefield capillary microscopy, and capillary abnormalities were correlated with organ involvement. Twentyβeight patients had diffuse skin disease, and 14 had the CREST variant of systemi