Raynaud phenomenon and the vascular disease in scleroderma.

Abstract:

PURPOSE OF REVIEW:Raynaud phenomenon is the earliest and most common clinical manifestations of scleroderma (systemic sclerosis). Therefore, Raynaud phenomenon offers the best window into the investigation of the early steps in the pathogenesis of systemic sclerosis. This review focuses on the differential diagnosis of Raynaud phenomenon, the transition of Raynaud phenomenon to systemic sclerosis, mechanisms and consequences of vascular injury and dysfunction in systemic sclerosis, and therapeutic options. RECENT FINDINGS:Careful clinical evaluation using a simple definition of Raynaud phenomenon is the most reliable and reproducible method in the diagnosis. Although the assessment of vascular function by noninvasive methods is still not sensitive enough for the evaluation and follow-up of individual patients, it helps in the differential diagnosis and in population studies. Progressive deficiency in vasodilatory capacity of the vessels is proposed as a mechanism of Raynaud phenomenon, particularly in systemic sclerosis. In addition, decreased fibrinolysis and enhanced coagulation pathways undoubtedly contribute to vascular dysfunction. The mechanism of endothelial injury is still elusive, yet endothelial apoptosis mediated by antiendothelial antibodies is the most attractive hypothesis now. Therapies directed at the vascular disease continue to focus on the alleviation of vascular spasm. However, immunosuppressive therapy may influence the levels of vascular injury markers and thus may have an effect on the vascular disease itself. SUMMARY:Continued progress in the investigation of the vascular aspects of scleroderma is described in this review. Immune involvement in the early stages of the disease and mechanism of vascular repair in advance cases are some of the highlights of last year's progress.

journal_name

Curr Opin Rheumatol

authors

Kahaleh MB

doi

10.1097/01.bor.0000138677.88694.a4

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

718-22

issue

6

eissn

1040-8711

issn

1531-6963

pii

00002281-200411000-00011

journal_volume

16

pub_type

杂志文章,评审
  • Effectiveness of exercise in management of fibromyalgia.

    abstract:PURPOSE OF REVIEW:Exercise was established as an integral part of the nonpharmacological treatment of fibromyalgia approximately 20 years ago. Since then many studies have investigated the effects of exercise-either alone or in combination with other interventions. This review will discuss the benefits of exercise alon...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200403000-00012

    authors: Gowans SE,deHueck A

    更新日期:2004-03-01 00:00:00

  • Genetics of gout.

    abstract:PURPOSE OF REVIEW:This review provides an update on recent findings with regards to the genetics of hyperuricemia and gout, including recent data from genome-wide association studies (GWAS). RECENT FINDINGS:Five GWAS around the same time reported that genetic variants of SLC2A9/GLUT9 were associated with lower serum u...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32833645e8

    authors: Choi HK,Zhu Y,Mount DB

    更新日期:2010-03-01 00:00:00

  • New insights into renal transport of urate.

    abstract:PURPOSE OF REVIEW:This review focuses on recent progress in the understanding of various aspects of renal transport of urate. RECENT FINDINGS:Since the molecular cloning of the renal apical urate/anion exchanger URAT1 (SLC22A12), several membrane proteins relevant to the transport of urate have been identified. The mo...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328032781a

    authors: Anzai N,Kanai Y,Endou H

    更新日期:2007-03-01 00:00:00

  • Cell-based cartilage repair: illusion or solution for osteoarthritis.

    abstract:PURPOSE OF REVIEW:Regeneration of damaged articular cartilage remains one of the most challenging problems in orthopedic surgery. Distinct surgical procedures were developed for the repair of focal cartilage defects and this review will focus on recent aspects of cell-based healing approaches that aim to achieve restor...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3282a95e4c

    authors: Richter W

    更新日期:2007-09-01 00:00:00

  • Raynaud's phenomenon and other features of scleroderma, including pulmonary hypertension.

    abstract::Longitudinal studies of large cohorts of patients with Raynaud's Phenomenon have addressed the predictors of developing a secondary disease. New insights have been reported into the pathogenesis of Raynaud's phenomenon and the consequences of ischemia. Studies have suggested that more than one defect may cause Raynaud...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Wigley FM

    更新日期:1996-11-01 00:00:00

  • Clinical manifestations of disease activity, its measurement, and associated morbidity in systemic lupus erythematosus.

    abstract::Although nephritis remains a very important clinical disease manifestation of systemic lupus erythematosus (SLE), the focus has shifted from issues of mortality to morbidity. An improved method for measuring renal function is presented, and the value of renal biopsy, specifically the chronicity index, is confirmed as ...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199110000-00006

    authors: Ginzler EM

    更新日期:1991-10-01 00:00:00

  • Epidemiology, diagnosis, and treatment of osteoporosis.

    abstract::In the 2 years following menarche, bone mass increases substantially; this is an important new finding concerning peak bone mass. Studies of twins have given significant insights into the effect of heredity on bone mass. Many determinants of bone mass, bone gain, and bone loss thus have been characterized for people o...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199405000-00015

    authors: Cormier C

    更新日期:1994-05-01 00:00:00

  • An update on IgG4-related disease.

    abstract:PURPOSE OF REVIEW:IgG4-related disease (IgG4-RD) is a recently described fibroinflammatory condition that can affect nearly any organ. Our knowledge of this condition--its manifestations, diagnosis, pathogenesis and treatment--is expanding rapidly. RECENT FINDINGS:This review highlights the most recent developments in...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000133

    authors: Wallace ZS,Stone JH

    更新日期:2015-01-01 00:00:00

  • Autoimmune liver disease and rheumatic manifestations.

    abstract:PURPOSE OF REVIEW:To review studies that clarify the rheumatic manifestations of autoimmune hepatitis, elucidate shared pathogenic pathways, and encourage innovative site-specific therapies. RECENT FINDINGS:Autoimmune hepatitis has clinical manifestations, serological markers, pathogenic mechanisms, genetic predisposi...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328010c56b

    authors: Czaja AJ

    更新日期:2007-01-01 00:00:00

  • Calcium crystals in osteoarthritis.

    abstract::Osteoarthritis is the most common form of arthritis in adults and its incidence increases with age. More than 50% of people aged 65 and older have radiographic changes of knee osteoarthritis. Calcium crystals, including calcium pyrophosphate dihydrate and basic calcium phosphate crystals, are also common in the elderl...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200205000-00018

    authors: Jaovisidha K,Rosenthal AK

    更新日期:2002-05-01 00:00:00

  • Juvenile spondyloarthropathies and related arthritis.

    abstract::This article reviews recent publications related to the classification and treatment of juvenile spondyloarthropathies. We have included studies on adult onset spondyloarthropathies that are particularly relevant to childhood onset disease. Significant questions concerning classification of juvenile spondyloarthropath...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200209000-00009

    authors: Bukulmez H,Colbert RA

    更新日期:2002-09-01 00:00:00

  • Antisynthetase syndrome pathogenesis: knowledge and uncertainties.

    abstract:PURPOSE OF REVIEW:Antisynthetase syndrome (ASyS) is an acquired myopathy characterized by the presence of myositis-specific autoantibodies directed against tRNA-synthetases. ASyS is potentially life threatening due to lung involvement and treatment remains a challenge to date. With symptoms not limited to muscles but a...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000555

    authors: Gallay L,Gayed C,Hervier B

    更新日期:2018-11-01 00:00:00

  • T-cell and B-cell signaling biomarkers and treatment targets in lupus.

    abstract:PURPOSE OF REVIEW:Systemic lupus erythematosus is characterized by the production of antinuclear autoantibodies and dysfunction of T-cells, B-cells, and dendritic cells. Here, we review newly recognized genetic factors and mechanisms that underlie abnormal intracellular signal processing and intercellular communication...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32832e977c

    authors: Perl A,Fernandez DR,Telarico T,Doherty E,Francis L,Phillips PE

    更新日期:2009-09-01 00:00:00

  • Mesenchymal stem cells for the management of rheumatoid arthritis: immune modulation, repair or both?

    abstract:PURPOSE OF REVIEW:Mesenchymal stromal/stem cells (MSCs) have potent anti-inflammatory and immunomodulatory properties, in addition to their ability to form cartilage and bone. The purpose of this review is to highlight recent developments and current knowledge gaps in our understanding of the protective effects of MSCs...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000370

    authors: Ansboro S,Roelofs AJ,De Bari C

    更新日期:2017-03-01 00:00:00

  • Role of viruses in systemic lupus erythematosus and Sjögren syndrome.

    abstract::Systemic lupus erythematosus and Sjögren syndrome remain elusive in the description of their underlying etiologic causes and pathogenic mechanisms. Although underlying genetic predisposition appears to contribute to both diseases based on twin and other genetic studies, additional factors must play a role. Over the de...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200109000-00005

    authors: James JA,Harley JB,Scofield RH

    更新日期:2001-09-01 00:00:00

  • Behçet's disease.

    abstract::Recent studies have revealed the important role of streptococci in the etiology of Behçet's disease. Among patients with Behçet's disease, there is a high incidence of a history of streptococcal infections. Certain antigens of streptococci induced not only cutaneous, delayed-type hypersensitivity, but also systemic at...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Mizushima Y

    更新日期:1991-02-01 00:00:00

  • Hepatitis B virus and hepatitis C virus treatment and management in patients receiving immune-modifying agents.

    abstract:PURPOSE OF REVIEW:To increase awareness and review the management of chronic viral hepatitis in individuals treated with immune-modifying agents to avoid potentially severe consequences. RECENT FINDINGS:Hepatitis B virus (HBV) reactivation has been reported with a wide variety of immunosuppressive regimens ranging fro...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000067

    authors: Juan J,Feld JJ

    更新日期:2014-07-01 00:00:00

  • Long-term treatment strategies for postmenopausal osteoporosis.

    abstract:PURPOSE OF REVIEW:Osteoporosis guidelines do not usually provide specific recommendations regarding what medication is most appropriate for individual patients. Generic oral bisphosphonates are often considered first-line treatment for osteoporosis, but treatment duration is limited, based on potential long-term safety...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000509

    authors: Cosman F

    更新日期:2018-07-01 00:00:00

  • Recent advances to achieve remission induction in antineutrophil cytoplasmic antibody-associated vasculitis.

    abstract:PURPOSE OF REVIEW:Significant advances in the treatment of antineutrophil cytoplasmic antibody-associated vasculitis have been made in the past 10 years. This review aims to detail advances in treatment aimed at induction of remission. RECENT FINDINGS:Cyclophosphamide-based regimes remain the standard of care, at leas...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e328331cfeb

    authors: Harper L

    更新日期:2010-01-01 00:00:00

  • Eosinophilic myopathic syndromes.

    abstract::Eosinophilic infiltration into skeletal muscle, although rare, has been described in a diverse group of conditions. It most commonly occurs in parasitic infection as focal eosinophilic myositis but can be a feature of systemic hypereosinophilic conditions such as eosinophilia-myalgia syndrome and idiopathic hypereosin...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199811000-00002

    authors: Pickering MC,Walport MJ

    更新日期:1998-11-01 00:00:00

  • Rheumatoid arthritis and cardiovascular disease: an update on treatment issues.

    abstract:PURPOSE OF REVIEW:This review examines thresholds for treatment of traditional cardiovascular disease (CVD) risk factors among patients with rheumatoid arthritis (RA) and whether RA-specific treatment modulates cardiovascular risk. RECENT FINDINGS:There are substantial data demonstrating an increased CVD risk among pa...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32835fd7f8

    authors: Barbhaiya M,Solomon DH

    更新日期:2013-05-01 00:00:00

  • Pathophysiology of rheumatoid arthritis.

    abstract:PURPOSE OF REVIEW:To provide a summary of recent advances in the pathophysiology of rheumatoid arthritis. RECENT FINDINGS:Highlights include further elucidation of the relationship between the shared epitope, smoking and anticitrullinated protein/peptide antibody generation, including identification of putative citrul...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e32834518a3

    authors: Cooles FA,Isaacs JD

    更新日期:2011-05-01 00:00:00

  • New developments in our understanding of DISH (diffuse idiopathic skeletal hyperostosis).

    abstract:PURPOSE OF REVIEW:Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is a common disorder among older adults. The diagnosis is based solely on radiographic abnormalities defined using the Resnick criteria. DISH is characterized by ossification of the anterior longitudinal ligament of the spine and v...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200405000-00021

    authors: Sarzi-Puttini P,Atzeni F

    更新日期:2004-05-01 00:00:00

  • Emergence and treatment of chikungunya arthritis.

    abstract:PURPOSE OF REVIEW:To review the emergence, clinical features, pathogenesis, and treatment of acute chikungunya (CHIK) fever and chronic CHIK arthritis. RECENT FINDINGS:Since 2004, CHIK, an arboviral infection, has spread throughout the world, infecting millions of people. The illness occurs in two phases: an acute vir...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000486

    authors: Sutaria RB,Amaral JK,Schoen RT

    更新日期:2018-05-01 00:00:00

  • Advances in understanding the role of type I interferons in systemic lupus erythematosus.

    abstract:PURPOSE OF REVIEW:Advances in understanding the genetic and molecular basis of innate immune system activation and function have supported the hypothesis that type I interferons (IFN-I), the essential mediators of antiviral host defense, are central contributors to the pathogenesis of systemic lupus erythematosus (SLE)...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000087

    authors: Crow MK

    更新日期:2014-09-01 00:00:00

  • Eosinophilia-myalgia syndrome, toxic-oil syndrome, and diffuse fasciitis with eosinophilia.

    abstract::The eosinophilia-myalgia syndrome, which is associated with the ingestion of L-tryptophan that contained products, occurred as an epidemic in the United States in 1989. Eosinophilia-myalgia syndrome is similar in many ways to the toxic-oil syndrome, which occurred in Spain in 1981, and to diffuse fasciitis with eosino...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Silver RM

    更新日期:1992-12-01 00:00:00

  • Connective tissue metabolism including cytokines in scleroderma.

    abstract::Fibroblasts within the skin of scleroderma patients constitute a phenotypically heterogeneous population with regard to expression of collagens, cytokines, and cytokine receptors. By in situ hybridization techniques, scleroderma skin is shown to contain a subpopulation of fibroblasts that are stimulated for expression...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-199112000-00010

    authors: Unemori EN,Amento EP

    更新日期:1991-12-01 00:00:00

  • The role of endoplasmic reticulum stress and the unfolded protein response in fibrosis.

    abstract:PURPOSE OF REVIEW:To review the present knowledge of the role of endoplasmic reticulum (ER) stress and unfolded protein response (UPR) in the pathogenesis of fibrotic diseases. RECENT FINDINGS:ER stress and UPR occur in a number of diseases associated with organ fibrosis; however, the contribution of these pathways to...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0b013e3283588dbb

    authors: Lenna S,Trojanowska M

    更新日期:2012-11-01 00:00:00

  • The thymus and rheumatology: should we care?

    abstract:PURPOSE OF REVIEW:The purpose of this review is to discuss the mechanisms of central and peripheral tolerance in relation to T-cell mediated autoimmunity in rheumatoid arthritis (RA). RECENT FINDINGS:The well established association between major histocompatibility complex class II and RA has led us to understand that...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/BOR.0000000000000251

    authors: Cosway E,Anderson G,Garside P,Prendergast C

    更新日期:2016-03-01 00:00:00

  • Diffuse alveolar hemorrhage syndromes.

    abstract::Diffuse alveolar hemorrhage (DAH) is a rare yet serious and frequently life-threatening complication of a variety of conditions. DAH may result from coagulation disorders, inhaled toxins, or infections. Most cases of DAH are caused by capillaritis associated with systemic autoimmune diseases such as antineutrophil cyt...

    journal_title:Current opinion in rheumatology

    pub_type: 杂志文章,评审

    doi:10.1097/00002281-200101000-00003

    authors: Specks U

    更新日期:2001-01-01 00:00:00