Vascular abnormalities represent a fundamental event in the pathogenes
is of systemic sclerosis. This review focuses on key observations that
support this view and builds a framework with which to clarify our un
derstanding of how endothelial cell damage may trigger a self-fueling
process ending in pathological tissue fibrosis in those susceptible to
scleroderma. The studies reviewed in this article pertain to systemic
sclerosis patients. Copyrights (C) 1998 by W.B. Saunders Company.