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Table 3 Induced hyperhemia in patients with systemic sclerosis or primary Raynaud's phenomenon and healthy controls

From: Local hyperhemia to heating is impaired in secondary Raynaud's phenomenon

 

Healthy controls (n = 20)

Primary RP (n = 20)

SSc (n = 20)

P-value

Amplitude of the thermal response (median cutaneous vascular conductance (mV/mm Hg), 10th-90th percentile)

    

   Baseline

7.2 (1.1–38)

6.4 (1.4–26.3)

5.2 (1.2–25.9)

NS

   10 min thermal peak

43.4 (23.2–63)

42.6 (31–80.7)

27 (14.7–51.4)a

0.01

   10–30 min thermal peak

35.5 (12.2–55)

37.2 (24.3–70.6)

24.7 (13.5–51)

0.09

   44°C thermal peak

43.1 (21.3–62.1)

42.6 (31.6–74.3)

25.4 (15–52.4)a

0.01

Kinetics of the thermal response (median time, seconds)

    

   Time to first thermal peak

190 (125–230)

160 (91–311)

391 (171–1483)a

0.0001

   Time to second peak

1458 (867–1949)

1394 (967–1991)

-

NS

Amplitude of the response to sublingual nitroglycerin (median vascular conductance (mV/mm Hg), 10th-90th percentile)

    

   Baseline

14.1 (1.1–54.2)

4.6 (0.8–32)

11.5 (1.4–38)

NS

   4 min peak

16.5 (1.6–55)

9.1 (1.2–34.5)

16.8 (3.6–37.7)

NS

Amplitude of the post-occlusive response (median cutaneous vascular conductance (mV/mm Hg), 10th-90th percentile)

    

   Baseline conductance

13 (1.3–49)

4.8 (1.1–32)

7.7 (1.4–30)

NS

   Peak hyperhemic conductance

36.8 (11–65)

28.5 (9.3–49)

25.1 (9.5–50.2)b

0.05

Kinetics of the post-occlusive response (median time (seconds) 10th-90th percentile)

    

   Time to peak hyperhemia

34.3 (17.4–76.5)

44.4 (19.8–104)

108.5 (15–287)a

0.003

   Duration of hyperhemia

165 (75–277)

150 (97–345)

225 (82–345)

NS

  1. Data are medians, with 10th and 90th percentiles in parentheses. Cutaneous blood flow is expressed as cutaneous conductance (mV/mm Hg). Local heating at 42°C was applied for 30 minutes, followed by 5 minutes heating at 44°C. The cutaneous blood conductance was measured on the left middle fingerpad. aP < 0.05 following Bonferroni's correction versus healthy controls and versus primary Raynaud's phenomenon (RP), Mann-Whitney test. bP < 0.05 following Bonferroni's correction versus healthy controls. SSc, systemic sclerosis.