26th January 2024

A 49-year-old male has come to the rheumatology outpatient clinic for his regular appointment for diffuse systemic sclerosis.

A 49-year-old male has come to the rheumatology outpatient clinic for his regular appointment for diffuse systemic sclerosis. He is noted to be hypertensive with a BP of 155/87. He has a BP machine at home and states his sBP readings are usually between sBP 140-160 mmHg. His urinalysis shows protein 1+, and his recent blood tests show a mild elevation in his creatinine; otherwise, he is within normal limits. 

Given the suspected manifestation/underlying diagnosis, what would be the most appropriate treatment to initiate?

Select the SINGLE most appropriate option from the list below. Select ONE option only.