ACEi improve survival in SSc Renal Crisis ◦ Routine use of ACEi as prophylaxis is a myth ◦ ACEi prophylaxis may set up a chronic, less reversible process ◦ Best used in high BP, low creatinine - bring on the ACEi then John Stone, Secrets and Pearls #ACR22 @RheumNow https://t.co/3leCEmtaj1