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Systemic sclerosis (SSc) is an autoimmune connective tissue disease that involves skin and internal organs. Vascular abnormalities play a key role in the pathogenesis of the disease. Specifically, endothelial derangement with disruption of the normal architecture of the vessels is a specific finding in patients with SSc and is responsible for the tissue chronic ischemia which can manifest clinically as skin ulcers. Although an extensive body of literature supports the pathogenic importance of SSc, the real mechanisms leading to the scleroderma vasculopathy are not known. Besides defective angiogenesis, recent studies suggest that vasculogenesis is also impaired in SSc patients, with decreased numbers of endothelial progenitor cells. Further studies are needed to confirm these pathogenic hypotheses and to suggest new therapeutic approaches for the treatment of SSc.
Archivio di Ortopedia e Reumatologia – Springer Journals
Published: Jan 10, 2011
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