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Year : 1992  |  Volume : 58  |  Issue : 3  |  Page : 169--172

Digital blood flow in systemic sclerosis

Correspondence Address:
Sanjay Ghosh

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Source of Support: None, Conflict of Interest: None

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Digital vascular status in 10 untreated patients suffering from systemic sclerosis for 1 to 4 years was evaluated by a method called photoplethysmography (PPG). The PPG probe was attached serially to the distal phalanges of all the digits of four limbs with Velcro-strap at an ambient temperature of 28 C - 32 C and humidity of 60-65 percent to record PPG tracings. Six patients (Group A) had clinical symptoms and signs of vascular impairment whereas 4 patients (Group B) did not have. Diminished vascular flow was seen in all the patients of both the groups. On an average, 9 digits (45%) in Group A and 7 digits (35%) in Group B had reduced blood circulation. The difference between the two groups was not statistically significant (p>0.5). Degree of vascular impairment had no bearing upon the duration of the disease (rxy=+0.41). Impairment of digital blood flow may be due to organic narrowing of digital artery, functional vasomotor changes, endothelial proliferation and damage, blood hyperviscocity and less deformable red blood cells.

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Online since 15th March '04
Published by Wolters Kluwer - Medknow