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Il danno vascolare nella sclerosi sistemica

Il danno vascolare nella sclerosi sistemica 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archivio di Ortopedia e Reumatologia Springer Journals

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Publisher
Springer Journals
Copyright
Copyright © 2010 by Springer-Verlag Italia
Subject
Medicine & Public Health; Orthopedics
ISSN
0390-7368
eISSN
1592-7113
DOI
10.1007/s10261-010-0006-y
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

Archivio di Ortopedia e ReumatologiaSpringer Journals

Published: Jan 10, 2011

References