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
Hauptverfasser: Rivolta, Roberto, Mascagni, Barbara, Berruti, Vittorio, di Palo, Filippo Quarto, Elli, Attilio, Scorza, Raffaella, Castagnone, Daniela
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container_end_page 1034
container_issue 6
container_start_page 1030
container_title Arthritis and rheumatism
container_volume 39
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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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 &lt; 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P &lt; 0.04; interlobar artery r = 0.63, P &lt; 0.02; cortical artery r = 0.75, P &lt; 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 &amp; 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. 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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 &lt; 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P &lt; 0.04; interlobar artery r = 0.63, P &lt; 0.02; cortical artery r = 0.75, P &lt; 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 &amp; 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. 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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 &lt; 0.001). RI values were strongly correlated with disease duration (main artery r = 0.56, P &lt; 0.04; interlobar artery r = 0.63, P &lt; 0.02; cortical artery r = 0.75, P &lt; 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 &amp; Sons, Inc</pub><pmid>8651967</pmid><doi>10.1002/art.1780390622</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection
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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