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Table 3 Analysis of PAH according to sex, separate from genetic PAH

From: Sex differences in pulmonary arterial hypertension: role of infection and autoimmunity in the pathogenesis of disease

Genetic PAH

á…Ÿ

 Heritable PAH

 Congenital PAH

Female-dominant PAH

 Heritable PAH: estrogen-driven BMPR2 polymorphisms

 Idiopathic PAH

 CTD-associated PAH

 Rheumatic autoimmune disease-associated PAH (i.e., SSc, systemic lupus erythematosus, rheumatoid arthritis, myositis/ dermatomyositis, Raynaud’s syndrome, CREST, Sjögren’s syndrome)

 SSc-associated PAH/lcSSc (female-dominant form of SSc)

 Other female dominant autoimmune diseases associated with PAH (i.e., thyroiditis)

 Anorexigen-associated PAH

Male-dominant PAH

 HIV-associated PAH with myocarditis (myocarditis is male dominant and can be caused by HIV or Schistosoma mansoni infection)

 SSc-associated PAH/dcSSc (male-dominant form of SSc)

 Portopulmonary hypertensiona

  1. Abbreviations: BMPR2 bone morphogenic protein receptor 2; CREST calcinosis, Raynaud’s syndrome, esophageal dysmotility/gastroesophageal reflux disease, sclerodactyly, and telengiectasias; dcSSc diffuse cutaneous SSc; lcSSc limited cutaneous SSc; PAH pulmonary arterial hypertension; SSc systemic sclerosis
  2. aNot all studies support male predominance [17, 18, 22]