Sclerosing panniculitis is associated with pulmonary hypertension in systemic sclerosis

Br J Dermatol. 2005 Sep;153(3):579-83. doi: 10.1111/j.1365-2133.2005.06680.x.

Abstract

Background: There have been no reports of patients with sclerosing panniculitis and systemic sclerosis (SSc).

Objectives: To evaluate the incidence of sclerosing panniculitis in patients with SSc, and to investigate the clinical features of such cases.

Methods: In total, 128 patients with SSc treated at our clinic were investigated retrospectively.

Results: SSc patients with sclerosing panniculitis had pulmonary hypertension (PH), especially isolated PH, at a significantly higher incidence than those without. Among the SSc patients with PH, those with sclerosing panniculitis had pulmonary infarctions at a higher incidence than those without.

Conclusions: Our results suggest that thrombosis caused by venous hypertension of the leg may be the main cause of PH in patients with SSc and sclerosing panniculitis. Sclerosing panniculitis may be a useful marker of PH in patients with SSc.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Antinuclear / analysis
  • Antibodies, Antiphospholipid / analysis
  • Echocardiography
  • Female
  • Humans
  • Hypertension, Pulmonary / complications*
  • Hypertension, Pulmonary / diagnostic imaging
  • Incidence
  • Male
  • Middle Aged
  • Panniculitis / complications*
  • Panniculitis / diagnostic imaging
  • Pulmonary Embolism / complications
  • Pulmonary Embolism / diagnostic imaging
  • Retrospective Studies
  • Scleroderma, Systemic / complications*
  • Scleroderma, Systemic / diagnostic imaging
  • Statistics, Nonparametric

Substances

  • Antibodies, Antinuclear
  • Antibodies, Antiphospholipid