Treatment and Management of Scleroderma
How is scleroderma diagnosed?
It is often difficult to diagnose scleroderma. A specialist in autoimmune diseases (known as a rheumatologist) is usually required to establish the diagnosis. The diagnosis of scleroderma is made based on the careful analysis of many factors:
- A thorough history and physical examination are essential.
- There are certain laboratory studies that can be helpful when considering the diagnosis.
- In addition to specific blood and urine tests, specialized lung and heart evaluations are needed to evaluate any internal organ involvement from scleroderma.
It is important to note that a diagnosis cannot be made based on any specific blood test alone.
How is scleroderma managed?
Early recognition of scleroderma is essential because this will allow for early treatment. It is important to recognize that there is no cure for scleroderma. In addition, because it is a chronic disease, people often require medical therapy for many years to keep scleroderma under control.
Goals of therapy vary for each person because the various organs involved in a given person with scleroderma guide treatment. There are a number of effective organ-specific treatments available for people with scleroderma. Combinations of anti-inflammatory and immunosuppressing medicines are often needed. These manage the underlying problems with the immune system. Various other medications are often needed to control the skin and internal organ problems associated with this disease. In particular, chemotherapy may be required to control underlying lung problems.
In addition to medication therapy, many people benefit from physical therapy and rehabilitation. Under the guidance of rehabilitation therapists, people with scleroderma often learn how to appropriately rest, exercise, strengthen, and maintain joint and muscle function.
This information has been approved by Aryeh Fischer, MD (April 2008).
