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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1994 May;53(5):323–326. doi: 10.1136/ard.53.5.323

Vasculitis in patients with systemic sclerosis and severe digital ischaemia requiring amputation.

A L Herrick 1, P K Oogarah 1, A J Freemont 1, R Marcuson 1, M Haeney 1, M I Jayson 1
PMCID: PMC1005331  PMID: 8017986

Abstract

OBJECTIVES--To document the incidence of histological vasculitis in amputation specimens from patients with severe digital ischaemia secondary to systemic sclerosis (SSc), and to look for an association between anticardiolipin (aCL) antibodies and severe digital ischaemia in SSc. METHODS--This was a retrospective review of patients with SSc who underwent amputation for digital ischaemia over a three year period. RESULTS--Five of nine patients had histological vasculitis, four of whom had aCL antibodies, although these were not present in high titre. CONCLUSION--Vasculitis does occur in SSc, at least in that subgroup with severe peripheral ischaemia. These findings could have implications for treatment of this subgroup of patients with SSc.

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Selected References

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  1. Alarcón-Segovia D., Cardiel M. H., Reyes E. Antiphospholipid arterial vasculopathy. J Rheumatol. 1989 Jun;16(6):762–767. [PubMed] [Google Scholar]
  2. Fonollosa V., Selva A., Lima J., Simeon C. P., Vilardell M. Anticardiolipin antibodies in systemic sclerosis. J Am Acad Dermatol. 1991 Jul;25(1 Pt 1):133–134. doi: 10.1016/s0190-9622(08)80513-0. [DOI] [PubMed] [Google Scholar]
  3. Goldberger E., Elder R. C., Schwartz R. A., Phillips P. E. Vasculitis in the antiphospholipid syndrome. A cause of ischemia responding to corticosteroids. Arthritis Rheum. 1992 May;35(5):569–572. doi: 10.1002/art.1780350513. [DOI] [PubMed] [Google Scholar]
  4. Hart F. D. Rheumatoid arthritis: extra-articular manifestations. Br Med J. 1969 Jul 19;3(5663):131–136. doi: 10.1136/bmj.3.5663.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Katayama I., Otoyama K., Kondo S., Nishioka K., Nishiyama S. Clinical manifestations in anticardiolipin antibody-positive patients with progressive systemic sclerosis. J Am Acad Dermatol. 1990 Aug;23(2 Pt 1):198–201. doi: 10.1016/0190-9622(90)70198-q. [DOI] [PubMed] [Google Scholar]
  6. Lie J. T. Vasculopathy in the antiphospholipid syndrome: thrombosis or vasculitis, or both? J Rheumatol. 1989 Jun;16(6):713–715. [PubMed] [Google Scholar]
  7. Loizou S., McCrea J. D., Rudge A. C., Reynolds R., Boyle C. C., Harris E. N. Measurement of anti-cardiolipin antibodies by an enzyme-linked immunosorbent assay (ELISA): standardization and quantitation of results. Clin Exp Immunol. 1985 Dec;62(3):738–745. [PMC free article] [PubMed] [Google Scholar]
  8. Love P. E., Santoro S. A. Antiphospholipid antibodies: anticardiolipin and the lupus anticoagulant in systemic lupus erythematosus (SLE) and in non-SLE disorders. Prevalence and clinical significance. Ann Intern Med. 1990 May 1;112(9):682–698. doi: 10.7326/0003-4819-112-9-682. [DOI] [PubMed] [Google Scholar]
  9. Malia R. G., Greaves M., Rowlands L. M., Lawrence A. C., Hume A., Rowell N. R., Moult J., Holt C. M., Lindsey N., Hughes P. Anticardiolipin antibodies in systemic sclerosis: immunological and clinical associations. Clin Exp Immunol. 1988 Sep;73(3):456–460. [PMC free article] [PubMed] [Google Scholar]
  10. Oddis C. V., Eisenbeis C. H., Jr, Reidbord H. E., Steen V. D., Medsger T. A., Jr Vasculitis in systemic sclerosis: association with Sjögren's syndrome and the CREST syndrome variant. J Rheumatol. 1987 Oct;14(5):942–948. [PubMed] [Google Scholar]
  11. Passaleva A., Massai G., Matucci-Cerinic M., Domeneghetti M. P., Sharifian J., Lotti T., Cagnoni M., Ricci M. Immunological abnormalities in a group of patients with limited cutaneous systemic sclerosis and prominent vascular disease. Autoimmunity. 1990;6(4):283–291. doi: 10.3109/08916939008998420. [DOI] [PubMed] [Google Scholar]
  12. Rallings P., Exner T., Abraham R. Coronary artery vasculitis and myocardial infarction associated with antiphospholipid antibodies in a pregnant woman. Aust N Z J Med. 1989 Aug;19(4):347–350. doi: 10.1111/j.1445-5994.1989.tb00276.x. [DOI] [PubMed] [Google Scholar]
  13. Reyes E., Alarcon-Segovia D. Leg ulcers in the primary antiphospholipid syndrome. Report of a case with a peculiar proliferative small vessel vasculopathy. Clin Exp Rheumatol. 1991 Jan-Feb;9(1):63–66. [PubMed] [Google Scholar]
  14. Seibold J. R., Knight P. J., Peter J. B. Anticardiolipin antibodies in systemic sclerosis. Arthritis Rheum. 1986 Aug;29(8):1052–1053. doi: 10.1002/art.1780290819. [DOI] [PubMed] [Google Scholar]

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