Portal hypertension in rheumatic

Abstract

Some rheumatic diseases are complicated by portal hypertension which can cause gastrointestinal varices and ascites requiring adequate treatment. The mechanism leading to portal hypertension often involves idiopathic portal hypertension, pulmonary hypertension, and liver cirrhosis. In systemic lupus erythematosus, mixed connective tissue disease, and systemic sclerosis, in particular, portal hypertension is often reported. Esophagogastric varices can frequently occur in association with portal hypertension, with high bleeding ratios; special attention is necessary. In addition, in the long-term follow-up process, hepatic atrophy and ascites can be encountered, making treatment of the primary disease quite difficult. Attention should be paid not only to the treatment of the primary disease but also to the possible development of portal hypertension.