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Doctor insights on: Scleroderma

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Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
1

1
If it is scleroderma, is it a lifelong dilemma?

Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
If it is scleroderma, is it a lifelong dilemma?

Usually: As no effective treatments exist, this disease is often chronic and progressive. In rare instances, remissions have occurred. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
2

2
How does scleroderma progress over time?

Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
How does scleroderma  progress over time?

Depends on type: Some forms of localized scleroderma which affect only the skin do not progress and can even improve. Other forms such as progressive systemic sclerosis can (slowly or quickly) progress to involve the blood vessels and internal organs. It is important to be diagnosed early to anticipate and treat any progressive involvement, especially involvement of the kidneys. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
Get help from a real doctor now
Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
Continue
Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
3

3
Is episcleritis a symptom of scleroderma?

Dr. Pierre Moeser
Board Certified, Rheumatology
2M people helped
Is episcleritis a symptom of scleroderma?

No: Other than dry eyes, ocular problems are not common in scleroderma. ...Read more

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Dr. Cindy Juster
Board Certified, Pediatrics
31 years in practice
2M people helped
4

4
What are common symptoms of scleroderma?

Dr. Cindy Juster
Board Certified, Pediatrics
31 years in practice
2M people helped
What are common symptoms of scleroderma?

Skin changes: The first sign is usually patchy areas on the skin that often make a linear pattern. Early on, they are slightly pink and thickened, but can be flat and shiny. As time passes, the skin spots enlarge and often become thick and lavender/purple-colored, sometimes with pale flat centers. Scleroderma can also affect the heart, lung, kidney, joints, digestive tract. Please see your doctor if you're worried. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. John Goldman
Board Certified, Rheumatology
50 years in practice
15M people helped
5

5
What are signs, symptoms of scleroderma?

Dr. John Goldman
Board Certified, Rheumatology
50 years in practice
15M people helped
What are signs, symptoms of scleroderma?

Tight skin: People with scleroderma have tight skin, but have other findings including raynauds, finger changing color in the cold or stress, joint pain, and can have internal involvement in the lungs, heart, kidney etc. Each person has different finding and the rheumatologist helps to put it together. ...Read more

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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
6

6
Positive diagnosis (scleroderma, polymyositis) with negative blood tests? Is that common?

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
Positive diagnosis (scleroderma, polymyositis) with negative blood tests?  Is that common?

PM/Scl: The paradox of rheumatologic diseases is that there are more lab tests in this area than any other, and they of relatively less value compared to the history and physical findings than in other fields. If your rheumatologist is comfortable with the diagnosis of "scleromyositis", which usually features anti-pm/scl, i'd accept it even with a single negative result, and proceed. ...Read more

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Dr. Ravinder Rustagi
Board Certified, Cardiology
41 years in practice
137K people helped
7

7
Is a ANA + with mixed patterns 1:80 homogeneous n 1:160 centromere sufficient enough to diagnose 4 crest/scleroderma or additional tests needed?

Dr. Ravinder Rustagi
Board Certified, Cardiology
41 years in practice
137K people helped

Auto Immune disease: You need additional testing to diagonals crest/scleroderma. You should also see the rheumatologist to confirm the disease before you worry that you have scleroderma or not. ...Read more

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Dr. Joseph Eastern
Board Certified, Dermatology
39 years in practice
12M people helped
8

8
Are all diagnostic tests for circumscribed scleroderma done locally? What are they?

Dr. Joseph Eastern
Board Certified, Dermatology
39 years in practice
12M people helped

Yes.: The only diagnostic test for morphea is a skin punch biopsy, which is usually done in the doctor's office. ...Read more

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Dr. Tracy Lovell
Board Certified, Rheumatology
16 years in practice
6M people helped
9

9
I test positive for scleroderma. I have reflux asthma and reynaldo's. Does this mean I have scleroderma?

Dr. Tracy Lovell
Board Certified, Rheumatology
16 years in practice
6M people helped

See below: This is a determination best made by your rheumatologist who knows your history best. Reflux can be seen in scleroderma and reflux can cause asthma symptoms regardless of whether you have scleroderma or not. Raynaud's is associated with scleroderma, but it can also be seen in other conditions independent of scleroderma. ...Read more

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Dr. Arthur Bobrove
Board Certified, Rheumatology
49 years in practice
30K people helped
10

10
What are the tests for scleroderma?

Dr. Arthur Bobrove
Board Certified, Rheumatology
49 years in practice
30K people helped

Scleroderma tests: The diagnosis of scleroderma is based mostly on signs and symptoms. Lab tests may help confirm the diagnosis and even offer some predictions as to risks of certain types of complications. Anti rna-polymerase iii antibody, increases risk of renal crisis and sudden increase in blood pressure, antitopoisomerase ab, increases risk for scaring of the lung, anticentromere ab, pulmonary hypertension. ...Read more

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Dr. Lawrence Kessler
128 doctors shared insights

Dermatosclerosis (Definition)

Dermatosclerosis (also known as scleroderma), is a disease of the connective tissue, causing tightening and ...Read more


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Dr. Tonga Nfor
Board Certified, Cardiology
11 years in practice
506K people helped
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