Systemic Sclerosis — SCE Rheumatology MCQ
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Correct answer: E — DETECT 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