A double blind placebo controlled trial of recombinant tissue plasminogen activator in the treatment of digital ischemia in systemic sclerosis.

Klimiuk, P S; Kay, E A; Illingworth, K J; Gush, R J; Taylor, L J; Baker, R D; Perkins, C; Jayson, M I · J Rheumatol · 1992

rct · Level II

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Abstract

The treatment of digital ischemia in systemic sclerosis remains inadequate. We report a double blind, placebo controlled trial of recombinant tissue plasminogen activator (rtPA), a potent thrombolytic agent. Ten patients received rtPA. A potent, acute fibrinolytic effect was observed. During the infusion of rtPA, improvements in skin blood flow were seen. These improvements were shortlived.

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