Clinical Phenotype of Endothelial Dysfunction in a Lot of Romanian Scleroderma Patients

Laura Groseanu, Florian Berghea, Andra Balanescu, Denisa Predeteanu, Violeta Bojinca, Ioana Saulescu, Cosmin Constantinescu, Daniela Opris, Mihai Abobului, Andreea Borangiu, Maria-Magdalena Negru, Violeta Vlad (+1 others)
2015 Journal of Clinical Medicine ORIGINAL PAPERS ORIGINAL PAPERS 336 Maedica A Journal of Clinical Medicine   unpublished
Objective: to identify the particularities of the clinical phenotype of endothelial dysfunction in a lot of Romanian patients from a reference center and compare it to data reported by international registries. Material and methods: 51 patients were included in a cross sectional study. The patients were evaluated for the pattern of disease, main visceral involvement, serum markers of disease. Results: 41.2% patients had history of digital ulcers, 27.45% had pulmonary arterial hypertension;
more » ... hypertension; cardiovascular involvement also included: diastolic dysfunction in 31.1% of the patients, global systolic dysfunction in 9.8%, rhythm and conduction disturbances in 19.6%, peripheral vascular disease in 19.6%. Scleroderma renal crisis was identified in 2 patients. Conclusions: Vascular complications are a major cause of morbidity and mortality in systemic sclerosis. Earlier therapeutic intervention demands improved screening and diagnosis in all cases.
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