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Doctor insights on: Need Help With Circumscribed Scleroderma

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Need help finding doctors knowledgeable and experienced with blau syndrome/early onset sarcoidosis, not sarcoidosis. Much needed, thank you.

Need help finding doctors knowledgeable and experienced with blau syndrome/early onset sarcoidosis, not sarcoidosis. Much needed, thank you.

See details: Two of the most influential centers for this rare genetic disorder are the national institutes of health and the cleveland clinic. Speak with people at these two sites for guidance. ...Read more

Dr. Mary Ellen Luchetti
12 doctors shared insights

Circumscribed Scleroderma (Definition)

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


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How often should one with stable lupus and secondary sjogrens with no organ involvement see their rheumatologist?

How often should one with stable lupus and secondary sjogrens with no organ involvement see their rheumatologist?

3-4 months: This depends on the prior history of your disease, current medications , and current symptoms. Some mecications require more frequent monitoring. Prior problems may require a closer watch. In general 3-4 months if your only medication is plaquenil (hydroxychloroquine) and you are stable. ...Read more

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What does this mean: urticarial change including deep dermal fibrosis with underlying morphea and telangiectasia with melanin incontinence?

What does this mean: urticarial change including deep dermal fibrosis with underlying morphea and telangiectasia with melanin incontinence?

Talk to derm: From what i can see, the skin rash is from hives and the scarring from scratching. I have never heard of the term melanin incontinence so I have no idea what it means. The best thing is for you to discuss this with the derm doctor who did the biopsy. ...Read more

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Any one familiar with mctd, specifically morphea and lichen sclerosis?

Any one familiar with mctd, specifically morphea and  lichen sclerosis?

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 more

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Can you be diagnosed with lupus with +ana homogenous pattern, inflammation shown in skin biopsy and symptoms that all point to lupus?

Can you be diagnosed with lupus with +ana homogenous pattern, inflammation shown in skin biopsy and symptoms that all point to lupus?

It depends: Nobody knows what lupus actually is, so it's diagnosed by criteria. http://www.rheumtutor.com/2012-slicc-sle-criteria/ i need to give you 2 heads-up -- homogeoneous ANA pattern may be a lab error, and people who think they have lupus but don't meet the criteria tend to have a favorable prognosis. Wishing you the best -- the "brain fog" does make me think of lupus. Be strong ; stay proactive. ...Read more

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See multiple sxs, incl splinter hemorrhages. local consult with rhematologist. no findings support autoimmune disease. PrImary care still thinks autoi?

See multiple sxs, incl splinter hemorrhages. local consult with rhematologist. no findings support autoimmune disease. PrImary care still thinks autoi?

Autoimmunity: Sometimes an infection can mimic an autoimmune disease, since the infection 'triggers' an activation of the immune system. I would be interested to know exactly 'what' symptoms you're referring to. If you have splinter hemorrhages, then it could be endocarditis. I've seen cases that mimic autoimmune disease since the bacteria trigger things off. Make sure the doc is considering that too. ...Read more

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I need help toddler with borderline of lupus?

See details: I have no idea what borderline lupus means. It would be a very unusual diagnosis in someone so young. If you have questions, i urge you see a pediatric rheumatologist. ...Read more

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Need a doctor familiar with behcets disease?

Dr. Kenneth Calamia: Dr. Ken calamia at mayo jacksonville in jacksonville, florida. ...Read more

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I need help with coeliac disease issues?

I don't really see a: Question here. Are you working with a gastroenterologist? If you have a specific question you can clarify ; re-ask. Take care. ...Read more

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Can u lose a lung with sarcoidosis ?

Can u lose a lung with sarcoidosis ?

Unlikely: Surgical removal of a lung is not done with sarcoidosis. Besides the disease involves both lungs and often improves with medications. ...Read more

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Just diagnosed with fibromyalgia. What prescriptions do they give you to help with pain and other symptoms?

Just diagnosed with fibromyalgia. What prescriptions do they give you to help with pain and other symptoms?

Many, many options: I use more than 50 different medicines to treat my fibromyalgia patients. Every patient is different and medicines that work for one may not work for another. The 3 medicines that are fda approved for treating fibromyalgia are lyrica, Cymbalta and savella (milnacipran). However, many other medicines are also used. Find a fibromyalgia specialist who will work to find medicines that will help you. ...Read more

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Doc suspects SLE or AIH. Can u help prepare a checklist before visiting Rheum for symptoms of SLE and AIH, bloodworks & questions he may ask me?

See details.: The distinction should not be all that difficult. Lupus is not assoctiated with liver inflammation. If AIH is suspected, a liver biopsy should confirm the diagnosis. Also, certain autoantibodies can differentiate. Forget the ANA, it is positive in both diseases. ...Read more

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Do people with secondary sjogrens have the ssa or ssb, or is this only with primary? I understand 2ndary occurs with already existng ctd.

Do people with secondary sjogrens have the ssa or ssb, or is this only with primary? I understand 2ndary occurs with already existng ctd.

Primary, usually!: Primary sjogren's is usually associated with ss-a positivity, but both ss-a and ss-b combined is even more specific. But both can be false positive without clinical disease occurring! ...Read more

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Would medical marajuana be good to help with ehlers danlos and fibromyalgia?

Would medical marajuana be good to help with ehlers danlos and fibromyalgia?

Don't recommend.: Marihuana has proven to benefit people with nausea and vomiting during cancer and chronic pain. It has only been approved in a few states as such. Even though it appears "natural" it has side effects and will show up during drugscreens for jobs etc . I don't recommend it for your health issues but you should discuss this with your primary care physician. ...Read more

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Ms symptoms compare along with other diagnosis. what is 3 key signs that help get better diagnostic direction to decision and Dr!

Ms symptoms compare along with other diagnosis. what is 3 key signs that help get better diagnostic direction to decision and Dr!

MS WORK UP: In the MS work up, of a younger female patient presenting with vertigo /gait instability/numbness. And on exam ther is hyperrefleia. You would want to do a full blood work up evaluate for Lyme disease/CNS SARCOIDOSIS /SJOGRENS SYNDROME. MRI of brain and cervical spine to look for plaques. If necessary a lumbar puncture to check MBP and oligoclonal bands ...Read more

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What other conditions could 'focal dermal sclerosis' with telangiectasia on a skin biopsy indicate besides scleroderma?

What other conditions could 'focal dermal sclerosis' with telangiectasia on a skin biopsy indicate besides scleroderma?

Depends on clincial: This depends on your clinical status. It could be scleroderma but may not and may be something else. You need an evaluation ...Read more

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Which changing wound dressing need sterile condition and which need clear condition ? Completely answer help me a lot . With tnx

Which changing  wound dressing need sterile condition and which need clear condition ? Completely answer help me a lot . With tnx

Basics of Wound Care: For surgeries, burns, and other "acute" wounds that have no contamination or people with compromised immune systems, sterile dressing changes are the way to go. For wounds that have been exposed to outside contaminants, or have not healed in a "normal" time/fashion, ("chronic wounds"), arguably, sterile really does not exist as air, dust, etc are not sterile. ...Read more

Dr. Pierre Moeser
185 doctors shared insights

Scleroderma (Definition)

An autoimmune disease in which there is excessive thickening of the connective tissues. This can cause skin tightening, rash, difficulty swallowing, and in severe cases can affect the ...Read more


Dr. Hirenkumar Italia
144 doctors shared insights

Dermatosclerosis (Definition)

Dermatosclerosis = scleroderma = autoimmune disease affecting connective tissue & blood vessels. It causes skin to thicken asymmetrically due to deposits of fibrous connective ...Read more