Nutritional risk in patients with systemic sclerosis

  • Aysa César Pinheiro
  • Letticia Cristina Santos Cardozo Roque
  • Rafaela Silva Guimarães Gonçalves
  • Angela Luzia Branco Pinto Duarte
  • Andréa Tavares DantasEmail author
Letter to the Editor

Dear Editor

We read with great interest the article by Turk et al. that evaluated 98 systemic sclerosis (SSc) patients using Malnutrition Universal Screening Tool (MUST) and demonstrated a moderate to high risk of malnutrition in 38.8% of patients [1]. Other studies have pointed to the high prevalence of malnutrition in SSc patients and its negative impact on prognosis [2, 3, 4, 5]. Many factors may be implicated in the etiopathogenesis of malnutrition in this group of patients, such as dysmotility and deficit of absorption caused by fibrosis, inflammatory activity, mood disorders, orofacial impairment, and global and hands incapacity [6, 7]. In addition, some disease parameters have been associated with increased risk of developing malnutrition, such as shorter disease duration, gastrointestinal involvement, disease severity, extent of cutaneous involvement, and presence of microstomy [1, 2]. Given the impact of malnutrition on disease morbidity and mortality, the assessment of the...


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    Türk İ, Cüzdan N, Çiftçi V, Arslan D, Doğan MC, Unal I (2019) Malnutrition, associated clinical factors, and depression in systemic sclerosis: a cross-sectional study. Clin Rheumatol.
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Copyright information

© International League of Associations for Rheumatology (ILAR) 2019

Authors and Affiliations

  • Aysa César Pinheiro
    • 1
  • Letticia Cristina Santos Cardozo Roque
    • 2
  • Rafaela Silva Guimarães Gonçalves
    • 1
  • Angela Luzia Branco Pinto Duarte
    • 1
  • Andréa Tavares Dantas
    • 1
    • 2
    Email author
  1. 1.Rheumatology Department of Hospital das ClínicasUniversidade Federal de Pernambuco (UFPE)RecifeBrazil
  2. 2.Post-Graduate Program in PhysiotherapyUniversidade Federal de Pernambuco (UFPE)RecifeBrazil

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