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Systemic Sclerosis — SCE Rheumatology MCQ

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HardSystemic SclerosisSystemic SclerosisSCE Rheumatology

An asymptomatic patient has systemic sclerosis of five years’ duration, FVC 89% predicted and DLCO 42% predicted. Which validated multistep pulmonary-hypertension screening algorithm is applicable?

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Correct answer: EDETECT two-step pulmonary-hypertension screening algorithm

DETECT was developed for asymptomatic systemic-sclerosis patients with disease duration over three years, FVC at least 40% predicted and DLCO below 60% predicted. A positive screen prompts echocardiographic assessment and possible right-heart catheterisation; it does not replace evaluation of symptomatic suspected pulmonary hypertension.

Reference: 2024 BSR guideline for management of systemic sclerosis (Published September 2024): https://academic.oup.com/rheumatology/article/63/11/2956/7750184; 2022 ESC/ERS guideline for pulmonary hypertension (Published August 2022): https://academic.oup.com/eurheartj/article/43/38/3618/6673929