scleroderma renal crisis (SRC) - odin

[ArchivalUser]

A patient with a diagnosis of scleroderma who has diffuse cutaneous involvement presents with malignant hypertension, oliguria, edema, hemolytic anemia, and renal failure. You make a dg of scleroderma renal crisis (SRC). What is the recommended treatment?
A. Capropril
B. Carvedilol
C. Clonidine
D. Diltiazem
E. Nitroprusside

[ArchivalUser]

captopril

[ArchivalUser]

Yes, only ACEI may reverse the acute renal failure in SRC in 60% of the patients. ACEI should be used even if the patient requires dialysis support-over 50% on ACEI were able to discontinue dialysis after 3-18 months