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Treatment of scleroderma with ILD and the side effects - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
Doctor :   hi
Doctor :   are you back xxxxx?
Doctor :   I have to close this chat window as you have moved out of the chat. Please log in again if you need further medical advice.
Doctor :   hi
User :   dear doctor, hello
Doctor :   hello
Doctor :   please go ahead with your medical query
User :   i am a case of scleroderma.
Doctor :   ok
User :   i have been put on monthly infusion of methylprednisolone and cyclophosphamide
Doctor :   ok
User :   is the treatment ok for a case of scleroderma with early ILD and what are the side affects of these medication?
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   what are the side affects of these medication and its success? i am 38 yrs male serving in defence in india, married with two sons,65 kgs, 175 cms,
Doctor :   methyl prednisolone can cause many side effects like
Doctor :   raised blood sugar
Doctor :   weight gain
Doctor :   increased susceptibility to infections
Doctor :   and stomach upset
Doctor :   also methylprednisolone and cyclophosphamide
User :   hoe much success has been obtained through autologous stem cell transfusion
Doctor :   are the drugs of choice in your condition
Doctor :   the current therapy is mainly medical
Doctor :   for patients with limited involvement
Doctor :   the improvement is good
Doctor :   extensive skin involvement, anaemia, and lung or kidney involvement
Doctor :   are asociated with risk
Doctor :   as for autologous stem cell transplantation
Doctor :   the resulta are still under study
Doctor :   they are said to cause disease remission
Doctor :   lung transplantation may be attempted in end stage lung involvement
User :   what all precautions do i have to take while undergoing the medication? what r the chances of research going in the field to come out with some new therapy? are there any medication that can reverse the damages to deformation / skin tightening/ raynauld's etc.
Doctor :   there are newer drugs for lung involvement but are expensive
Doctor :   also there are drugs for skin/ raynauds and other conditions
Doctor :   you should get yourself evaluated regularly with a rheumatologist
Doctor :   continuous physical activity should be done
Doctor :   like regular exercise
Doctor :   you should take large amounts of vitamin c
Doctor :   like citrus fruits
Doctor :   skin wounds should be kept clean
Doctor :   are you there sir?
User :   yes doctor
Doctor :   ok
Doctor :   the skin
Doctor :   should be kept neat and clean
User :   is there any research going on in india?
Doctor :   especially any finger involvement
Doctor :   i dont think so
Doctor :   but i will get back to you by mail with the relevant details
Doctor :   YYYY@YYYY Mobile : 0000
Doctor :   plerase confirm your details
User :   thanks a lot doctor! details are correct.
Doctor :   ok
Doctor :   Please fill the feedback form say done when done
Doctor :   Is there any thing else that I could help you with?
User :   not for the moment doctor thanks
Doctor :   ok
Doctor :   you are welcome
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service

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