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Doctor insights on: Scleroderma Care

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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

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


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Best medical care for dermomyositis?

Best medical care for dermomyositis?

See rheumatologist: It needs to be managed by specialist with steroids along with immunosupressive drugs. It also needs extensive workup to rule out associated diseases that occur in 20 per cent of cases within 5 years of the diagnosis. ...Read more

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Advice for raynauds disease? Glover?

Advice for raynauds disease? Glover?

Gloves and. Meds!: Wearing gloves is essential in cold weather! an electric pocket warmer is useful! i favor the calcium channel blockers for use, but in lower doses, than treating bp! these drugs dilate arteries and prevent vasospasm with cold or anxiety quit well. I use Diltiazem the most in sustained release dosing only 1 x per/day. ...Read more

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Which health care professionals? Deal with congenital heart disease?

Which health care professionals? Deal with congenital heart disease?

Congenital heart specialists: As a infant/child/teenager, patients with congenital heart are typcially cared for by pediatric cardiologists/cardiovascualrr surgeons. A new field of adult congenital heart is evolving in which internal medicine congenital heart cardiologists who have specialized training in congenital heart disease care for patients over 21 years of age. ...Read more

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What is toronto health care like with regard to rheumatoid arthritis?

What is toronto health care like with regard to rheumatoid arthritis?

Excellent: I do not have first hand knowledge but second hand. The professional system in canada has top experts in the high ranking hospitals, where the care is as good as any tertiary referral center in the usa. ...Read more

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How does a chronic disease wellness program affect health care costs?

How does a chronic disease wellness program affect health care costs?

Wellness program: Lowers costs by decreasing obesity and the associated htn, hypercholesterol, cardiac disease, arthritis. Smoking cessation also lowers cost by lowering pulmonary, vascular, and wound healing issues. ...Read more

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Is palliative care usually covered by insurance for cystic fibrosis patients?

Is palliative care usually covered by insurance for cystic fibrosis patients?

Should be covered: Palliative care should be covered by insurance, regardless of the underlying diseases a person has. One can call her insurance company to check. Palliative care can be really helpful when a patients diseases can no longer be improved by medical treatments. ...Read more

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Health insurance for lupus patients?

Health insurance for lupus patients?

SLE and insurance: Check with your states health department. Many states make arrangements to cover people who don't qualify with private insurers, usually through some kind of high risk health ins. Pool. It's expensive but probably not as expensive as a catastrophic illness without any coverage at all. ...Read more

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Can urgent care centers do a biopsy for detecting skin cancer?

Can urgent care centers do a biopsy for detecting skin cancer?

Sometimes: Skin biopsies are generally easy to do, but some urgent care physicians aren't proficient at it because skin cancer is not an urgent issue. Many urgent care centers won't have the proper processing kits to transport the tissue to the pathology lab. Call any medical facility before you go to make sure they can handle your needs. ...Read more

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Does managed care insurance cover health screenings and preventive care for expats?

Does managed care insurance cover health screenings and preventive care for expats?

Depends: Coverage of these services and the extent to which these services are covered are all dependent on the type of plan. Many plans do cover for those type of services. ...Read more

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Where is the best medical care for Crohn's disease?

Where is the best medical care for Crohn's disease?

Best is what works: Treatment for crohn's disease uses a step wise therapy. We start with one method (chosen because it is effective with low side effects) and if necessary, we move up to the next method of treatment. If the first step works for you, that then is the best treatment for you. For others, it may be the other steps. Best is what ever is effective with minimal side effects or complications. ...Read more

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Can hospital care include hospice care for the terminally ill ?

Can  hospital care include hospice care for the terminally ill ?

It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more

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Does kid qualify for vaccine exempt with family hist of scleroderma, Raynaud's, psoriasis, scoriatic arthritis, and personal hist of eczema and celiac?

Does kid qualify for vaccine exempt with family hist of scleroderma, Raynaud's, psoriasis, scoriatic arthritis, and personal hist of eczema and celiac?

No: Vaccines will prevent you from getting serious diseases which might complicate your personal history of eczema and celiac disease. Go see your Pediatrician and get all protections you can. ...Read more

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Self care tips for vitiligo.

Vitiligo care: Two things that are important to do for a person with vitiligo: 1. Protect skin from sun exposure. Areas of vitiligo have no melanin to protect them from damaging sun rays. Also a sunburn can cause new areas of vitiligo to appear. 2. Protect skin from trauma. Just like sunburn, trauma (scratches, etc) can cause vitiligo to appear on normal skin. This is known as koebner phenomenon. ...Read more

Dr. Barbara Lavi
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