7min chapter

The Curious Clinicians cover image

80 - A Scleroderma Crisis

The Curious Clinicians

CHAPTER

Scleroderma Renal Crisis: Poor Outcomes and the Role of ACE Inhibitors

This chapter explores the poor outcomes of scleroderma renal crisis before the introduction of ACE inhibitors, highlighting the effectiveness of dialysis paired with bilateral nephrectomy. It also discusses the significant reduction in mortality rates with the use of ACE inhibitors and the role of high renin levels in patients with renal crisis.

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