Lung Transplantation in Patients With Systemic Sclerosis.

Abstract:

PURPOSE OF REVIEW:The purpose of this study was to highlight recent findings on evaluation for lung transplantation and outcomes after transplantation in patients with systemic sclerosis (scleroderma). RECENT FINDINGS:The recognition that extra-pulmonary disease manifestations can seriously compromise post-transplant outcomes has changed the way patients are screened for lung transplant candidacy. Reluctance to transplant subjects affected by scleroderma has been driven by the complexity and multisystem nature of this disease. Multiple recent reports provide convincing findings that scleroderma patients undergoing lung transplantation have similar outcomes as those with other non-rheumatologic pulmonary conditions, even when significant esophageal dysmotility is present. New evidence supports the notion that scleroderma should not be a contraindication for referral to lung transplant. Future studies are needed to improve risk stratification, to define protocols for screening and management of extra-pulmonary complications, and to optimize immunosuppression before and after transplant.

journal_name

Curr Rheumatol Rep

authors

Shah RJ,Boin F

doi

10.1007/s11926-017-0650-z

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

23

issue

5

eissn

1523-3774

issn

1534-6307

pii

10.1007/s11926-017-0650-z

journal_volume

19

pub_type

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