LUNG DAMAGE IN PATIENTS WITH SYSTEM SCLEROSIS AT THE NATIONAL HOSPITAL OF DERMATOLOGY IN 2021

Thị Chuyên Phùng1,, Thị Minh Phương Phạm 2
1 Hanoi Medical university
2 National Hospital of Dermatology and Venereology

Main Article Content

Abstract

Objectives: Evaluation of lung damage and analysis of some related factors in patients with systemic scleroderma. Methods: A cross-sectional descriptive study on 81 patients diagnosed with systemic scleroderma according to ACR/EULAR 2013 criteria at the National Hospital of Dermatology from January 2020 to July 2022. Results: Interstial lung damage accounted for 80,2% total patient, pulmonary hypertension 48,1%, combined ILD and PAH  34,5%. Restrictive ventilation disorder 60,5%, FVC 77,06±18,04. There was a statistically significant difference in the Rodnan score betwween SSc with PE and without PAD (18,4 and 14,3; p=0,023). There was a statistically significant difference in the indices  of FVC (72,9% and 93,8%; p=0,02); restrictive ventilation disorder (OR=0,23 and p=0,008); anti-Scl70 (OR=0,29 and p=0,03); and Rodnan scores (OR=4,61; p=0,009) between patients with ACS with ILD and without ILD. There is a risk of decreased FVC in patients with positive anti Scl-70 antibodies (OR=0,37 and p=0,037). There is a correlation between FVC and Rodnan score (p=0,00).

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References

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