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10.1111/apt.13963

http://scihub22266oqcxt.onion/10.1111/apt.13963
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C5576448!5576448!28185291
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suck abstract from ncbi


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pmid28185291      Aliment+Pharmacol+Ther 2017 ; 45 (7): 883-98
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  • Review article: pathogenesis and clinical manifestations of gastrointestinal involvement In systemic sclerosis #MMPMID28185291
  • Kumar S; Singh J; Rattan S; DiMarino AJ; Cohen S; Jimenez SA
  • Aliment Pharmacol Ther 2017[Apr]; 45 (7): 883-98 PMID28185291show ga
  • Background: Gastrointestinal tract involvement is a common cause of debilitating symptoms in patients with systemic sclerosis. There are no disease modifying therapies for this condition and the treatment remains symptomatic, largely owing to the lack of a clear understanding of its pathogenesis. Aim: To investigate novel aspects of the pathogenesis of gastrointestinal involvement in systemic sclerosisTo summarize existing knowledge regarding the cardinal clinical gastrointestinal manifestations of systemic sclerosis and its pathogenesis, emphasizing recent investigations that may be valuable in identifying potentially novel therapeutic targets. Methods: Electronic (Pubmed/Medline) and manual Google search Results: The gastrointestinal tract is the most common internal organ involved in systemic sclerosis. Any part of the gastrointestinal tract from the mouth to the anus can be affected. There is substantial variability in clinical manifestations and disease course and symptoms are non-specific and overlapping for a particular anatomical site. Gastrointestinal involvement can occur in the in the absence of cutaneous disease. Up to 8% of systemic sclerosis patients develop severe gastrointestinal tract symptoms. This subset of patients display increased mortality with only 15% survival at 9 years. Dysmotiity of the gastrointestinal tract causes the majority of symptoms. Recent investigations have identified a novel mechanism in the pathogenesis of gastrointestinal tract dysmotility mediated by functional anti-muscarinic receptor autoantibodies. Conclusion: Despite extensive investigation the pathogenesis of gastrointestinal involvement in systemic sclerosis remains elusive. Although treatment currently remains symptomatic, an improved understanding of novel pathogenic mechanisms may allow the development of potentially highly effective approaches including intravenous immunoglobulin and microRNA based therapeutic interventions.
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