Zusammenfassung
Die systemische Sklerodermie ist eine bislang schwer therapierbare Multisystemerkrankung, die neben der Haut auch innere Organe wie Lunge, Gastrointestinal- trakt, Herz, Nieren und Gelenke betreffen kann. Weithin akzeptiert wird ein Konzept der Pathogenese, das vasculäre und immunologische Prozesse an den Beginn der Kaskade stellt und die Fibrose als Ergebnis komplexer Zell-, Zytokin- und Adhäsionsmolekülinteraktionen sieht.
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Literatur
Arbeitsgruppe Sklerodermie“ der Arbeitsgemeinschaft Dermatologische Forschung (ADF) (1086) Klinik der pro¬gressiven systemischen Sklerodermie (PSS). Multizentrische Untersuchungen an 194 Patienten. Hautarzt 6/37: 320–324
Clements PJ, Medsger TA Jr (1996) Organ involvement: skin. In: Clements PJ, Fürst DE (eds) Systemic Sclerosis. Williams & Wilkins, Baltimore, pp 389–407
Clements PJ (1995) Measuring disease activity and severity in scleroderma. Curr Opinion Rheumatol 7: 517–521
Dau PC, Kahaleh MB, Sagabiel RW (1981) Plasmapheresis and immunosuppressive drug therapy in scleroderma. Arthritis Rheum 24: 1128–1136
Clements P, Lachenbruch P, Seibold J, White B, Weiner S, Martin R, Weinstein A, Weisman M, Mayes M, Collier D, Wigley F, Medsger T Jr, Steen V, Moreland L, Dixon M, Massa M, Lally E, McCloskey D, Varga J, Ingenito F, Fürst D (1995) Inter- and intraobserver variability of total skin thickness score (modified Rodnan TSS) in systemic sclerosis. J Rheumatol 22: 1281–1285
Clements PJ, Fürst DJ, Seibold JR, Lachenbruch PA (1996) Controlled trials: Trial design issues. In: Clements PJ, Fürst DE (eds) Systemic Sclerosis. Williams & Wilkins, Baltimore, pp 389–407
Farmer RG, Gifford RW Jr, Hines EA Jr (1960) Prognostic significance of Raynaud’s phenomenon and other clinical cha¬racteristics of systemic scleroderma. A study of 271 cases. Circulation 21: 1088–1095
Fierlbeck G, Rassner G (1988) Rekombinantes Interferon- gamma bei Psoriasis arthropathica, progressiv systemischer Sklerodermie und Morbus Behcet. Med Klinik 21: 695–699
Freundlich B, Jimenez SA, Steen VD, Medsger TA Jr, Szkolnicki M, Jaffe HS (1992) Treatment of systemic sclerosis with recombinant interferon-g. Arthritis and Rheumatism 35: 1134–1142
Hein R, Behr J, Hündgen M, Hunzelmann N, Meurer M, Braun-Falco O, Urbanski A, Krieg T (1992) Treatment of systemic sclerosis with g-interferon. Brit J Dermatol 126: 496–501
Jimenez SA, Sigal H (1989) A fifteen year prospective study of treatment of rapid progressive systemic sclerosis (PSS) with D-penicillamine (D-pen). Arthritis Rheum 32 (suppl): A134
Kahan A, Amor B, Menkes CJ, Stauch G (1989) Recombinant interferon gamma in the treatment of systemic sclerosis. Am J Med 87: 273–277
Pope J (1993) Treatment of systemic sclerosis. Curr Opinion Rheumatol 5: 792–801
Rodnan GP, Lipinski E, Luksick J (1979) Skin thickness and collagen content in progressive systemic sclerosis and localized scleroderma. Arthritis Rheum 22: 130–140
Rosenbloom J, Feldman G, Freundlich B, Jimenez SA (1986) Inhibition of excessive scleroderma fibroblast collagen pro¬duction by recombinant g-interferon: association with a coordinate decrease in types I and III procollagen messenger RNA levels. Arthritis Rheum 29: 851–856
Seibold JR, Fürst DE, Clements PJ (1996) Treatment of systemic sclerosis by disease modifying agents. In: Clements PJ, Fürst DE (eds)Systemic Sclerosis. Williams 8c Wilkins, Baltimore, pp 535 –548
Steen VD (1996) Organ involvement: renal. In: Clements PJ, Fürst DE (eds)Systemic Sclerosis. Williams & Wilkins, Baltimore, pp 389–407
Steen VD, Medsger TA, Rodnan GP (1982) D-Penicillamine therapy in systemic progressive sclerosis (scleroderma). A retrospective analysis. Ann Int Med 97: 652–659
Stevens W, Vancheeswaran R, Black CM, UK Systemic Sclerosis Study Group. Alpha interferon-2a (Roferon-A) in the treatment of diffuse cutaneous systemic sclerosis: a pilot study. British J Rheumatol 31: 683–689
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Grassegger, A., Schuler, G., Hessenberger, G., Fritsch, P.O. (1998). IFN-γ in der Behandlung der systemischen Sklerodermie — Ergebnisse einer kontrollierten Multicenter-Studie. In: Garbe, C., Rassner, G. (eds) Dermatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71974-5_40
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