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What Causes Scleroderma?

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Posted on Fri, 24 Apr 2015
Question: Symptons= raynauds, digital ulceration, sclerodactyly, low persistent chest pain/arrhythmia, significant reduction of lung function, dyspnea, paresthesia, reflux, hypotension. Points to scleroderma (systemic), but not clear about hypotension fitting into this. Could it be anything else? Can you tell me prognosis once it goes systemic? Just need to know stats regarding longevity (realize docs can squeeze a few more months to years if the pateint serves as a human clinical trial guinea pig, but not going that route). Thanks.
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Answered by Dr. Dr. Shruti Rijhwani (36 minutes later)
Brief Answer:
Looks like scleroderma only.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that given your symptoms the most probable diagnosis is scleroderma only . But you havent mentioned about your ANA and ENA profile to look for autoantibodies .

Sometimes autonomic disturbances like hypotension can be seen with these autoimmune disorders . The prognosis depends upon the organ involvement , the more the organs involved worse will be the prognosis . It cannot be generalised and vary from case to case .

I would like to see your test reports before guiding your regarding the treatment. Any other concern we will be happy to answer .

Take care.

Dr. Shruti
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What Causes Scleroderma?

Brief Answer: Looks like scleroderma only. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that given your symptoms the most probable diagnosis is scleroderma only . But you havent mentioned about your ANA and ENA profile to look for autoantibodies . Sometimes autonomic disturbances like hypotension can be seen with these autoimmune disorders . The prognosis depends upon the organ involvement , the more the organs involved worse will be the prognosis . It cannot be generalised and vary from case to case . I would like to see your test reports before guiding your regarding the treatment. Any other concern we will be happy to answer . Take care. Dr. Shruti