Raynauds Or Ulcer?
Posted 02 October 2007 - 11:31 PM
1. What cause ulcers on the fingers/toes with scleroderma?
2. Can you get ulcers anywhere on the body?
3. I sometimes get numbness in my toes, my rheumatologist says it is from the raynauds
if the numbness lasts for a long time, can it develop into an ulcer?
4. Can calcinosis cause ulcers?
Posted 03 October 2007 - 05:03 AM
Hope you never have one either.
Posted 03 October 2007 - 11:50 AM
It is what it is...........
Posted 04 October 2007 - 01:17 PM
There are more expensive treatments like Bosentan that are not only supposed to work for ulcers but are supposed to help with a number of other SSc symptoms as well. Are lots of you on these more expensive medications, and I am just not hearing about it. Or is my sneaking suspicion correct and people are losing fingers and toes because the insurance industry is cheap!
Posted 04 October 2007 - 11:22 PM
Hello, Celia. You have asked some good questions which have in turn prompted some other good ones. I am including the links for our medical pages on Calcinosis and Digital Ulcers for you to read. These conditions are different.
Calcinosis is the formation of small white calcium lumps under the skin on fingers and other parts of the body. The lumps may break through the skin and leak a chalky white fluid. Ulcers on the other hand are necrotic lesions that are caused by prolonged ischemia following Raynaud's attacks.
There is an article from Medscape Today which explains very thoroughly the various options of prevention and treatment:
What Is the Best Noninvasive Treatment for Digital Ulcers Due to Raynaud's Phenomenon in Scleroderma?
One key point made in this article is:
"The management of the ulcers due to RP must include simple measures such as avoidance of cold, stress, nicotine, caffeine, and sympathomimetic decongestant medications (eg, pseudoephedrine)."
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