August 6, 2026 · The American journal of medicine · DOI: 10.1016/j.amjmed.2026.07.029

Scleroderma Renal Crisis in Mixed Connective Tissue Disease

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The authors investigate the occurrence and management of scleroderma renal crisis in patients with mixed connective tissue disease, a rare complication with only 10 reported cases. They highlight the pathogenesis involving endothelial injury and the importance of early intervention with angiotensin-converting enzyme inhibitors to prevent renal damage, while also discussing emerging therapies for refractory cases. The study emphasizes the need for increased awareness of this condition to improve patient outcomes.

Indira Acharya, Onyekachi Ibe-Ejiogu, Ashik Pokharel, Christopher M Burns, William F C Rigby

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