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Hipertensão e insuficiência renal na esclerodermia sistémica

Hipertensão e insuficiência renal na esclerodermia sistémica

Faten Frikha / Mouna Mnoussi / Sameh Marzouk

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Editorial:
KS OmniScriptum Publishing
Año de edición:
2025
Materia
Medicina clínica e interna
ISBN:
9786208955199
65,35 €
IVA incluido
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INTRODUÇÃOA hipertensão arterial (HA) com ou sem envolvimento renal é uma das manifestações raras da esclerodermia sistémica (ES). O objetivo deste estudo foi determinar as caraterísticas epidemiológicas, clínicas, terapêuticas, evolutivas e prognósticas da hipertensão arterial e do comprometimento renal na ES.PACIENTES E MÉTODOSEste foi um estudo retrospetivo de doentes com esclerodermia com hipertensão e/ou envolvimento renal que foram registados no departamento de medicina interna do Hospital Universitário Hédi Chaker em Sfax entre 1996 e 2012.RESULTADOSForam registados 5 casos (5,8%) de hipertensão e/ou envolvimento renal numa série de 85 doentes com esclerodermia durante o período de estudo. A idade média das 5 mulheres era de 59 anos. A crise renal esclerodérmica (CRE) foi rara em apenas um doente (1,7%) e caracterizou-se pela ausência de hipertensão. No nosso estudo, a hipertensão estava presente em 3 casos, era moderada e tinha como consequência insuficiência renal incipiente em 2 casos e hipertrofia ventricular esquerda em apenas um caso.

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