Difference between revisions of "SYSTEMIC SCLEROSIS-LUNGS"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. Main cause of morbidity/mortality in SSC, lung death is due to pulmonary HTN | 1. Main cause of morbidity/mortality in SSC, lung death is due to pulmonary HTN: arterial intimal proliferation & interstitial fibrosis. | ||
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<br/>2. Order pulmonary function tests (PFTs) with spirometry regularly (every 6-12 months). | <br/>2. Order pulmonary function tests (PFTs) with spirometry regularly (every 6-12 months). |
Latest revision as of 11:07, 20 March 2023
SUMMARY
1. Main cause of morbidity/mortality in SSC, lung death is due to pulmonary HTN: arterial intimal proliferation & interstitial fibrosis.
2. Order pulmonary function tests (PFTs) with spirometry regularly (every 6-12 months).
3. Cyclophosphamide may be used for interstitial lung disease with active alveolitis.
4. Pulmonary HTN is often treated with drugs that cause vasodilation of the pulmonary vasculature such as prostaglandins.
5. Lung transplant may be required.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].