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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis Of CREST Syndrome?

My mother has CREST syndrome her creatine is 2.77 and her gfr is 17....the doc called today with the results she has been monitored closely for several years and the decline is happening fast. At what point will dialysis not help her? At what number is she at the end. She is having back pain and mental status changes.
Tue, 7 Apr 2015
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Pediatrician,  's  Response
Thank yiu for consulting in Health care Magic. I understand your concern. It is sever disease of connective tissue and like as other immuno-mediated diseases it can affect kidney. Your mother has complication -chronic renal failure aproximately 2 stage. Haemodialysis is helpful detoxical therapy for removing urea, creatine and different middle molecules, allergens and etc. She has scleroderma kidney.Don't ask about longetivity of her life, nobody can know it. I can tell you only that can live with haemodialysis for a long time. We can dramatically improved the survival of patients with renal failure.I will tell you some advices for your mother:
1.Therapy with ACE inhibitors: captopril, enalapril and etc for protection heart and kidney
2. Absorbents ,dufalac
3. Arthishoke 2 capsule 3 times after 15 min before meal continuously for removing urea
4.Ketosteril
5.Calcium+Vit D3
6.Hemodialysis
7. Pevzner diet 7

Take care
Best regards

Dr.Svetlana
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What Is The Prognosis Of CREST Syndrome?

Thank yiu for consulting in Health care Magic. I understand your concern. It is sever disease of connective tissue and like as other immuno-mediated diseases it can affect kidney. Your mother has complication -chronic renal failure aproximately 2 stage. Haemodialysis is helpful detoxical therapy for removing urea, creatine and different middle molecules, allergens and etc. She has scleroderma kidney.Don t ask about longetivity of her life, nobody can know it. I can tell you only that can live with haemodialysis for a long time. We can dramatically improved the survival of patients with renal failure.I will tell you some advices for your mother: 1.Therapy with ACE inhibitors: captopril, enalapril and etc for protection heart and kidney 2. Absorbents ,dufalac 3. Arthishoke 2 capsule 3 times after 15 min before meal continuously for removing urea 4.Ketosteril 5.Calcium+Vit D3 6.Hemodialysis 7. Pevzner diet 7 Take care Best regards Dr.Svetlana