Doctor insights on:
Best Circumscribed Scleroderma Program
Lichen Sclerosus: Corticosteroid ointments or creams are commonly prescribed for lichen sclerosus. Initially, you'll generally have to use cortisone creams or ointments on the affected skin daily. After several weeks, your doctor will likely recommend that you only use these medications twice a week to prevent a recurrence. Your doctor will monitor you for side effects associated with prolonged use. ...Read moreSee 1 more doctor answer
Circumscribed scleroderma refers to localized scleroderma ("hard skin"). The body produces excess collagen which produces hardened skin. This can range from a small area of abnormal skin to a disfiguring skin lesion. Even though internal organs are not affected, the hard skin can attach itself to underlying muscle ...Read more
Can be hard problem: No simple answer. Scleroderma patients can have problems with chewing (soft diet helps), esophageal issues (poor contractions, lots of reflux-avoid fried, greasy, fatty, spicy foods, large meals, lying down after eating, chocolate, minimize coffee); can have diverticula and bacterial overgrowth in small bowel-causes diarrhea-may need episodic antibiotics; probiotics may help. C doc and dietician. ...Read moreSee 1 more doctor answer
Is photodynamic blue light therapy treatment for diffuse Actinic Keratosis good & what is Cosmetic results&Are patients generally happy w end result
Uncertain: I disagree with some aspects of recommended treatments such as coffee enemas for detoxification purposes. I find no convincing studies proving benefit. In general, a working liver and healthy kidneys take care of detoxification quite admirably. Talking with people who have undergone treatment and discussing with various physicians and perhaps getting a second opinion would be worthwhile. ...Read more
The Mighty Vitamin D: You may do better in warmer climate closer tot he equator for 2 reasons: more vitamin D and more exercise . Receiving more sunlight would naturally raise your vitamin D levels. Adequate vitamin D is essential for fibromyalgia relief, and is a powerful anti-inflammatory.More exercise, especially light walking or yoga on the beach would add to the benefit of vitamin D. ...Read more
Cervical spine: Your question very vaque, lacks details. Dontt know ur age but if referring cervical spine, many causes from trauma to aging. Need diagnosi proper evaluation. In most cases structured physical therapy is safest and with traction often best treatment. Real problems arise when spinal cord or nerves as exist holes in vertebrae usually affected upper extremities. Some things are due wear and tear. Fi. ...Read more
Depends: For early stage disease, it's usually 2-4 cycles abvd w/ involved site radiation. For advanced disease, it's at least 4-6 cycles of abvd or even beacopp with radiation reserved for sites of bulk disease. For relapse, new drugs like Adcetris (brentuximab vedotin) are in use as are the option of transplant. ...Read more
What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?
Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more
Wat tests would a Good Doc do to DX Amyloidosis.What type of Doc DX the disease, ie immunology, rheumatologist? when patient as A Spondylitis CHF,PAD
It's your choice: It's a crash diet and arbitrary "this is good, this is bad" from somebody with no evidence and no qualifications. It's your life and your health. Many people find this sort of thing comforting. If you have actual health issues, get with an evidence-based physician, preferably one who shares your interest in "natural medicine" and pop claims. ...Read more
High scl70, joint pain, fatigue,palmar erythema,telangiectasias,lung fibrosis,livedo reticularis,no hard skin! Can it be Scleroderma if no hard skin?
How many cycles (min/max) of ICE chemo regime is needed in a person with primary refractory nodular sclerosis hodgkin lymphoma?
Have diffuse Actinic Keratosis & Dr recommends PDT therapy. With barley visible AK , is this best time now to treat for best outcome for face ? 51yr
Discuss with Dr.: There are several choices. The easiest is to do nothing. Next easiest is liquid nitrogen. ...Read more
Developed anca positive vasculitis with antihistone ab 1.4 after 2 months on losartan 50. disc reversedanemia. is angiogenesis critical 4 vasculitis?
This is more than o: Thisis more than one answer. The histone ab is seen in lupus and drug induced lupus. ANCA positivity can mean a variety of issue related to vasculitis but other conditions also, Uncertin about you commetn on anemia. Angigenesis is usually part of a variety of conditions including vasculitis but is seen in non-vaculitis syndromes also. Would advise you disucss this with your rheumatologis ...Read more
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
Healthtap doctors : are asked not to endorse specific brands or product lines. ...Read more
+ana speckled pattern, fibromyalgia, IBS inflamm. N hands/feet. Rhuematologist thinks it's RA instead of mctd. Is it possible with rnpab, IgG high?
Yes: You do not mention the rheumatoid factor and ccp antibody results but an inflammatory polyarthritis can certainly be RA even with other autoantibodies positive. I personally believe that mctd if it does really exist is over diagnosed. Imo, if you follow these patients most turn out to have lupus. ...Read more
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