Scleroderma Follow-up

Updated: Dec 08, 2017
  • Author: Sergio A Jimenez, MD, MACR, FACP, FRCP(UK Hon); Chief Editor: Herbert S Diamond, MD  more...
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Follow-up

Further Outpatient Care

Evaluate the patient every 3-6 months, depending on the disease activity and progression. Serial skin scoring (also known as the modified Rodnan skin score) is useful for monitoring skin changes over time. New techniques are currently being studied. For example, durometry, a technique for objectively measuring skin involvement, uses digital, hand-held, spring-loaded devices that measure hardness by applying an indentation load. [190] Follow up for other complications, as well.

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Further Inpatient Care

Patients with systemic sclerosis may need to be treated by other subspecialists, depending on the involvement of specific organ systems (eg, cardiologist, pulmonologist, gastroenterologist, nephrologist, endocrinologist, vascular surgeon, wound care specialist, hand surgeon).

Renal and lung transplantation are performed in specialized centers for patients with end-stage renal or lung involvement.

Current studies of autologous stem cell transplantation, including a large randomized control study (SCOT trial), are ongoing. Several uncontrolled studies have indicated that this procedure may lead to disease remission.

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