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Usually Mayo's consultation will be covered IF she can

get a referral from a doctor. That was required from

mine- you had to pay if you went on your own. MAYO is

ranked first in the country for its rheumatology

program. Scleraderma is considered an auto -immune

rheumatic disease.

It is sad but interesting to hear of your brothers

problem. My dad and an aunt both had leukemia and like

me you also have RA.

Hang in there. Listen to the words of wisdom concerning

the hairdresser. I am certain Mayo could help your SIL.

Hugs,

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,

I am sorry to hear that your sil may have scleroderma.

Here's a few links that will help you understand it.

Here's a fact sheet from the Scleroderma Foundation:

http://www.scleroderma.org/fact.html

Common antibiotic knocks out rare skin disease

http://www.rheumatic.org/sdtrial.htm

I read the list for the antibiotic protocol and many scleraderma patients

are having great luck with antibiotics. I would read this site!

The Facts About Scleroderma - A list of facts from the Scleroderma Research

Foundation. http://www.srfcure.org/scl_facts.html

Gastrointestinal Involvement - Gives a general overview of how Scleroderma

affects the gastrointestinal functions, such as reflux, heartburn,

dysphagia, diarrhea, irritable bowel syndrome, esophagitis and related

treatments for GI involvement.

http://sclerodermasupport.com/medical/topic/gastro/index.htm

Scleroderma - Explains scleroderma as a chronic autoimmune disease that

involves the skin and connective tissue, and then gives a brief explanation

of the types of scleroderma.

http://www.aarda.org/page43.html

Scleroderma - This fact sheet explains the cause, diagnosis and treatment of

Scleroderma. http://www.rheumatology.org/patients/factsheet/scler.html

http://www.srfcure.org/ Scleroderma Research Foundation Web Site

http://sclerodermagw.org/Scleroderma Foundation Greater Washington DC

This page has many links to personal stories.

http://www.healthlinkusa.com/273.html

I hope these help.

a

----- Original Message -----

From: <ANJILLAH@...>

<RA-supportegroups>

Sent: Thursday, January 04, 2001 6:03 PM

Subject: [ ] Scleroderma

>

> Dear and/or a, and/or anyone:

> Please help me to get some answers to this problem of my sis-in-law's.

June,

> My sil has always been healthy. She used to run every morning 5 miles

till

> recently. I believe she has scleroderma. I know there are two kinds.

One

> effects the hands and the other is systemic. We are not sure which one

she

> has. I think it is systemic since she now has very bad shortness of

breath.

> The Doctor even put her on oxygen at home. I think it is all connected.

She

> thinks she has something else besides the scleroderma like sarcoidosis.

The

> Doctor, (a lung specialist) is calling it ideopathic lung disease. Which

she

> feel is a different diagnosis. Which just means he doesn't know what it

is

> or what it is from. I am very upset about her. She has been a close

friend

> to me through all the tragedies in the family besides being my s-i-l.

> I am so worried about her. She is alone. I think some of you know I lost

my

> brother in 91 due to Leukemia. We all pulled together to get through

that.

> I have heard that there are people that can survive this illness but a lot

of

> info in diferent books isn't all that positive. I heard use of homeopathy

> and herbal products can help, but she won't hear of that. She told me

that

> this Dr. told her she has 4-5 years to live. How he could tell her that

when

> all the tests are not in and he doesn't really have a diagnosis. She is

> supposed to get an answer on an MRI on Monday.

> Anyway, I would appreciate any help with this problem. Does anyone know

of

> anyone who has it or had it. Can someone give me some first hand info.

Even

> some info somewhere else in the internet. I looked up scleroderma in the

pc

> and didn't get too much. a, , or anyone please can you give me

> something about this that you might know. Something to help I hope.

> I love my sister-in-law very much. She is the only sister I ever had. I

> told want to loose her too.

> Sincerely, Colletti

> Anjillah@...

> PS: June lives in Orange Park, outside of ville, in Florida. I

know

> the Mayo Clinic is there. I wishe I could get her to go there but she

says

> her insurance doesn't cover it. I wonder if they would see her on

> consulation. I wonder if they are very expensive. Does anyone know?

> Thankyoul

>

> Our websites: http://rheumatoid.arthritis.freehosting.net/

> http://www.rasupport.webprovider.com/

> Change subscription options:

>

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June,

You are very welcome. I hope they help her.

a

----- Original Message -----

From: JUNE <juner24@...>

onelist < egroups>

Sent: Friday, January 05, 2001 3:07 PM

Subject: [ ] Scleroderma

> a,great articles on Scleroderma. They answer every question anyone

> may have about this disease. I am printing out some to give to my

> hairdresser. Thanks again.

>

> Hugs

> June

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Scleroderma is a rheumatic disease we should all be aware of. and I

discussed her sister-in-law's situation privately, but there are a few

things about scleroderma and June's experience that I wish to highlight.

I believe that the most frightening aspect of this whole story is not the

possibility that June may have scleroderma or sarcoidosis, but that her

physician would tell her that she has four or five years to live. That death

sentence is wholly inappropriate. Even if all testing had been done, results

analyzed, and a diagnosis made, I would argue that a physician cannot know

this and does his or her patient a grave disservice by making such an

irresponsible statement.

Dr. Maureen Mayes, rheumatologist and an authority on scleroderma, writes in

her " The Scleroderma Book " (1999, Oxford University Press):

" Scleroderma has such a variable course from one person to the next that it

is very difficult to predict what will happen to any individual patient. The

course varies from mild disease in some cases to severe disease in others.

Sometimes people who start out with very active and progressive disease

reach a plateau and then slowly improve and do well in the long run ... For

the most part, I no longer try to predict a patient's outcome. I treat the

disease as it currently exists. "

I know someone who was given a judgment similar to June's. She is

struggling to get a diagnosis. The most likely outcomes at the moment are

lupus or multiple sclerosis. One physician she saw for a second opinion

declared on the first visit, after looking at her medical record, that she

had lupus and that she had ten years to live. She cried after his

announcement. Because she cried, this man claimed that she was obviously

depressed, too, and recommended Prozac. Luckily, she chose not to see that

doctor anymore. I urge you to leave any physician who practices medicine in

this fashion.

From the Greek, scleroderma means " hard skin " or " thick skin, " depending on

the translation. The disease is also referred to as systemic sclerosis.

There are two forms of scleroderma: systemic and localized. In systemic

disease, the illness affects the internal systems and organs as well as the

skin; the localized form of the disease is confined to the skin only.

Systemic sclerosis is rarer than lupus and, like lupus, is not well

understood, is often misdiagnosed, and is perceived to be more deadly than

it really is. Both disorders have a wide range of symptoms and much

variability in the course of the illness from patient to patient.

One symptom that is nearly universal in scleroderma patients who have the

systemic form of the disease is Raynaud's Phenomenon. When our list member,

June, described her hairdresser's fingers as sometimes turning purple,

especially in cold weather, she was describing Raynaud's. Raynaud's

Phenomenon is a vascular disturbance which causes the small blood vessels to

narrow, very notably in the fingers. Thus, the blood supply to the fingers

is diminished and they may turn blue, purple, or white in cold weather or in

response to stress or mechanical trauma. The same can happen to the toes. In

very serious cases, this can lead to digit ulceration and gangrene.

a sent a very comprehensive group of links on scleroderma where you can

learn much more about the disease. Mayes' book, which I mentioned above and

is designed for scleroderma patients and their families, is excellent. I

also own a physician's book on scleroderma entitled " Systemic Sclerosis "

edited by Philip Clements and Furst (1996, and Wilkins). It

is outstanding.

Yes, scleroderma is another one of these awful rheumatic diseases, the cause

and cure being unknown, but more effective treatments are being developed

and implemented continuously. We are making progress. There is much hope.

----- Original Message -----

From: <ANJILLAH@...>

<RA-supportegroups>

Sent: Thursday, January 04, 2001 5:03 PM

Subject: [ ] Scleroderma

>

> Dear and/or a, and/or anyone:

> Please help me to get some answers to this problem of my sis-in-law's.

June,

> My sil has always been healthy. She used to run every morning 5 miles

till

> recently. I believe she has scleroderma. I know there are two kinds.

One

> effects the hands and the other is systemic. We are not sure which one

she

> has. I think it is systemic since she now has very bad shortness of

breath.

> The Doctor even put her on oxygen at home. I think it is all connected.

She

> thinks she has something else besides the scleroderma like sarcoidosis.

The

> Doctor, (a lung specialist) is calling it ideopathic lung disease. Which

she

> feel is a different diagnosis. Which just means he doesn't know what it

is

> or what it is from. I am very upset about her. She has been a close

friend

> to me through all the tragedies in the family besides being my s-i-l.

> I am so worried about her. She is alone. I think some of you know I lost

my

> brother in 91 due to Leukemia. We all pulled together to get through

that.

> I have heard that there are people that can survive this illness but a lot

of

> info in diferent books isn't all that positive. I heard use of homeopathy

> and herbal products can help, but she won't hear of that. She told me

that

> this Dr. told her she has 4-5 years to live. How he could tell her that

when

> all the tests are not in and he doesn't really have a diagnosis. She is

> supposed to get an answer on an MRI on Monday.

> Anyway, I would appreciate any help with this problem. Does anyone know

of

> anyone who has it or had it. Can someone give me some first hand info.

Even

> some info somewhere else in the internet. I looked up scleroderma in the

pc

> and didn't get too much. a, , or anyone please can you give me

> something about this that you might know. Something to help I hope.

> I love my sister-in-law very much. She is the only sister I ever had. I

> told want to loose her too.

> Sincerely, Colletti

> Anjillah@...

> PS: June lives in Orange Park, outside of ville, in Florida. I

know

> the Mayo Clinic is there. I wishe I could get her to go there but she

says

> her insurance doesn't cover it. I wonder if they would see her on

> consulation. I wonder if they are very expensive. Does anyone know?

> Thankyoul

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You're very welcome, . Sorry it took me so long.

----- Original Message -----

From: <ANJILLAH@...>

<RA-Supportegroups>

Sent: Monday, January 08, 2001 2:03 PM

Subject: [ ] Scleroderma

> Dear :

> Thankyou for your very informative letter to the group. I am glad you

wrote

> all of that. I emailed it to my s-i-l too.

> Thank so very much.

> Sincerely,

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,

Thanks for such an informative post about this misunderstood disease. I

particularly like what you said about dumping a doctor that gives you no

hope. My first rheumy told me if I got pregnant, I would die. I never went

back to him. I had 2 children, and I'm not an angel :)

a

----- Original Message -----

From: Matsumura <Matsumura_Clan@...>

< egroups>

Sent: Monday, January 08, 2001 2:29 AM

Subject: Re: [ ] Scleroderma

> Scleroderma is a rheumatic disease we should all be aware of. and I

> discussed her sister-in-law's situation privately, but there are a few

> things about scleroderma and June's experience that I wish to highlight.

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  • 10 years later...

Thank you for sharing this Lottie...very interesting stuff. We all know these

medicines work all over our body because We deal with the side effects. Maybe

we're getting some " protection " from some of these other diseases as an extra

bonus? (Wouldn't that be nice!)

BethG

[ ] scleroderma

 

Dear Beth,

This has been in a clinical trial for some time and this is updated as of June,

2010. I suppose that Gleevec is approved for this trial, since it has already

been approved by FDA for other diseases, even alzheimer's. Is there no end to

what this miraculous drug will do? Makes you wonder how all of these diseases

being treated with Gleevec are connected???? I hope it works for your friend's

mother. One more notch in the Gleevec dossier. I hasten to add that Sprycel is

also being used for another disease for which I am at a loss to tell you at this

moment. As more research is being done, there will be more diseases being

treated by off label drugs not originally intended for the disease. They are

called " orphan diseases " for which there are no specific therapies for it. I

found this at a clinical trial website. I would certain welcome any discourse

someone else would have. Thank you for your reply to the original post.

" This is a Phase IIa, single center, prospective open label clinical trial of

Gleevec in patients with systemic sclerosis. All patients will be treated with

active drug for 12 months. The primary objective of this study will be to

determine the safety and tolerability of Gleevec in patients with systemic

sclerosis, but important secondary outcomes of relevance will be improvement in

disease status as defined by skin scores and indices of pulmonary function. "

***********

I found another use for Gleevec:

" Dermatofibrosarcoma protuberans (DFSP), a type of cancer (sarcoma) in which

cells in the tissue beneath the skin divide uncontrollably. Glivec is used to

treat adults with DFSP that cannot be removed with surgery, and in adults who

are not eligible for surgery when the cancer has returned after treatment or has

spread to other parts of the body. "

http://tinyurl.com/457w9bw

********************

FYI,

Lottie Duthu

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