Renal vascular damage in systemic sclerosis patients without clinical evidence of nephropathy
Objective. To evaluate the use of color‐flow Doppler ultrasonography, a direct, noninvasive technique, for measurement of kidney blood flow in patients with systemic sclerosis (SSc). Methods. Twenty‐five normal volunteers and 25 SSc patients (median disease duration 8 years, range 2–21 years) were s...
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Veröffentlicht in: | Arthritis and rheumatism 1996-06, Vol.39 (6), p.1030-1034 |
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creator | Rivolta, Roberto Mascagni, Barbara Berruti, Vittorio di Palo, Filippo Quarto Elli, Attilio Scorza, Raffaella Castagnone, Daniela |
description | Objective. To evaluate the use of color‐flow Doppler ultrasonography, a direct, noninvasive technique, for measurement of kidney blood flow in patients with systemic sclerosis (SSc).
Methods. Twenty‐five normal volunteers and 25 SSc patients (median disease duration 8 years, range 2–21 years) were studied. All were free of clinical symptoms of renal damage. The resistance index (RI) was determined on main, interlobar, and cortical vessels.
Results. In SSc patients, the RI was significantly increased at every sampling site examined (P < 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P < 0.04; interlobar artery r = 0.63, P < 0.02; cortical artery r = 0.75, P < 0.002). Regression analysis showed no relationship between RI and creatinine clearance values.
Conclusion. Color‐flow Doppler ultrasonography is a sensitive and noninvasive technique for evaluating vascular damage of the kidney in patients with SSc. |
doi_str_mv | 10.1002/art.1780390622 |
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Methods. Twenty‐five normal volunteers and 25 SSc patients (median disease duration 8 years, range 2–21 years) were studied. All were free of clinical symptoms of renal damage. The resistance index (RI) was determined on main, interlobar, and cortical vessels.
Results. In SSc patients, the RI was significantly increased at every sampling site examined (P < 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P < 0.04; interlobar artery r = 0.63, P < 0.02; cortical artery r = 0.75, P < 0.002). Regression analysis showed no relationship between RI and creatinine clearance values.
Conclusion. Color‐flow Doppler ultrasonography is a sensitive and noninvasive technique for evaluating vascular damage of the kidney in patients with SSc.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/art.1780390622</identifier><identifier>PMID: 8651967</identifier><identifier>CODEN: ARHEAW</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Adult ; Biological and medical sciences ; Creatinine - blood ; Creatinine - urine ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Renal Circulation - physiology ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Scleroderma, Systemic - diagnostic imaging ; Scleroderma, Systemic - physiopathology ; Sensitivity and Specificity ; Ultrasonography, Doppler, Color ; Vascular Resistance - physiology</subject><ispartof>Arthritis and rheumatism, 1996-06, Vol.39 (6), p.1030-1034</ispartof><rights>Copyright © 1996 American College of Rheumatology</rights><rights>1996 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3982-c9f3626dfe1d2d0e4e3003f7b5b998da8595eace07b11989368eea1e0573ab7d3</citedby><cites>FETCH-LOGICAL-c3982-c9f3626dfe1d2d0e4e3003f7b5b998da8595eace07b11989368eea1e0573ab7d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.1780390622$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.1780390622$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3111969$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8651967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rivolta, Roberto</creatorcontrib><creatorcontrib>Mascagni, Barbara</creatorcontrib><creatorcontrib>Berruti, Vittorio</creatorcontrib><creatorcontrib>di Palo, Filippo Quarto</creatorcontrib><creatorcontrib>Elli, Attilio</creatorcontrib><creatorcontrib>Scorza, Raffaella</creatorcontrib><creatorcontrib>Castagnone, Daniela</creatorcontrib><title>Renal vascular damage in systemic sclerosis patients without clinical evidence of nephropathy</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objective. To evaluate the use of color‐flow Doppler ultrasonography, a direct, noninvasive technique, for measurement of kidney blood flow in patients with systemic sclerosis (SSc).
Methods. Twenty‐five normal volunteers and 25 SSc patients (median disease duration 8 years, range 2–21 years) were studied. All were free of clinical symptoms of renal damage. The resistance index (RI) was determined on main, interlobar, and cortical vessels.
Results. In SSc patients, the RI was significantly increased at every sampling site examined (P < 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P < 0.04; interlobar artery r = 0.63, P < 0.02; cortical artery r = 0.75, P < 0.002). Regression analysis showed no relationship between RI and creatinine clearance values.
Conclusion. Color‐flow Doppler ultrasonography is a sensitive and noninvasive technique for evaluating vascular damage of the kidney in patients with SSc.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Creatinine - blood</subject><subject>Creatinine - urine</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Renal Circulation - physiology</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Scleroderma, Systemic - diagnostic imaging</subject><subject>Scleroderma, Systemic - physiopathology</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Vascular Resistance - physiology</subject><issn>0004-3591</issn><issn>1529-0131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1LwzAUwIMoc06v3oQcxFtn0ixpcxzDLxgIYx6lpOmri6TtTNqN_vdGVqY3T4_H-72vH0LXlEwpIfG9cu2UJilhkog4PkFjymMZEcroKRoTQmYR45KeowvvP0MaM85GaJQKTqVIxuh9BbWyeKe87qxyuFCV-gBsaux730JlNPbagmu88XirWgN16_HetJuma7G2pjY69MPOFFBrwE2Ja9huXBPYTX-JzkplPVwNcYLeHh_Wi-do-fr0spgvI81kGkdalkzEoiiBFnFBYAaMEFYmOc-lTAuVcslBaSBJTqlMJRMpgKJAeMJUnhRsgu4Oc7eu-erAt1llvAZrVQ1N57PgRwhBeQCnB1CHj7yDMts6UynXZ5RkPz6z4DP79RkabobJXV5BccQHgaF-O9SDQWVLp2pt_BFjNBwsZMDkAdsbC_0_S7P5av3nhG82c5AL</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Rivolta, Roberto</creator><creator>Mascagni, Barbara</creator><creator>Berruti, Vittorio</creator><creator>di Palo, Filippo Quarto</creator><creator>Elli, Attilio</creator><creator>Scorza, Raffaella</creator><creator>Castagnone, Daniela</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Renal vascular damage in systemic sclerosis patients without clinical evidence of nephropathy</title><author>Rivolta, Roberto ; Mascagni, Barbara ; Berruti, Vittorio ; di Palo, Filippo Quarto ; Elli, Attilio ; Scorza, Raffaella ; Castagnone, Daniela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3982-c9f3626dfe1d2d0e4e3003f7b5b998da8595eace07b11989368eea1e0573ab7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Creatinine - blood</topic><topic>Creatinine - urine</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Renal Circulation - physiology</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Scleroderma, Systemic - diagnostic imaging</topic><topic>Scleroderma, Systemic - physiopathology</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Vascular Resistance - physiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Rivolta, Roberto</creatorcontrib><creatorcontrib>Mascagni, Barbara</creatorcontrib><creatorcontrib>Berruti, Vittorio</creatorcontrib><creatorcontrib>di Palo, Filippo Quarto</creatorcontrib><creatorcontrib>Elli, Attilio</creatorcontrib><creatorcontrib>Scorza, Raffaella</creatorcontrib><creatorcontrib>Castagnone, Daniela</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rivolta, Roberto</au><au>Mascagni, Barbara</au><au>Berruti, Vittorio</au><au>di Palo, Filippo Quarto</au><au>Elli, Attilio</au><au>Scorza, Raffaella</au><au>Castagnone, Daniela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal vascular damage in systemic sclerosis patients without clinical evidence of nephropathy</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>1996-06</date><risdate>1996</risdate><volume>39</volume><issue>6</issue><spage>1030</spage><epage>1034</epage><pages>1030-1034</pages><issn>0004-3591</issn><eissn>1529-0131</eissn><coden>ARHEAW</coden><abstract>Objective. To evaluate the use of color‐flow Doppler ultrasonography, a direct, noninvasive technique, for measurement of kidney blood flow in patients with systemic sclerosis (SSc).
Methods. Twenty‐five normal volunteers and 25 SSc patients (median disease duration 8 years, range 2–21 years) were studied. All were free of clinical symptoms of renal damage. The resistance index (RI) was determined on main, interlobar, and cortical vessels.
Results. In SSc patients, the RI was significantly increased at every sampling site examined (P < 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P < 0.04; interlobar artery r = 0.63, P < 0.02; cortical artery r = 0.75, P < 0.002). Regression analysis showed no relationship between RI and creatinine clearance values.
Conclusion. Color‐flow Doppler ultrasonography is a sensitive and noninvasive technique for evaluating vascular damage of the kidney in patients with SSc.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>8651967</pmid><doi>10.1002/art.1780390622</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Creatinine - blood Creatinine - urine Female Humans Male Medical sciences Middle Aged Renal Circulation - physiology Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Scleroderma, Systemic - diagnostic imaging Scleroderma, Systemic - physiopathology Sensitivity and Specificity Ultrasonography, Doppler, Color Vascular Resistance - physiology |
title | Renal vascular damage in systemic sclerosis patients without clinical evidence of nephropathy |
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