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Treatments and drugs

By Mayo Clinic staff

Scleroderma has no known cure — no drug will stop the overproduction of collagen. But the localized variety of scleroderma sometimes resolves on its own. And a variety of medications can help control the symptoms of scleroderma or help prevent complications.

Medications

  • Dilating the blood vessels. Blood pressure medications that dilate blood vessels may help prevent lung and kidney problems and may help treat Raynaud's disease.
  • Suppressing the immune system. Drugs that suppress the immune system, such as those taken after organ transplants, may help reduce scleroderma symptoms.

Therapy

  • Physical or occupational therapy. Therapists can help you manage pain, improve your strength and mobility, and work on performing essential daily tasks to maintain your independence.
  • Cosmetic procedures. The appearance of skin lesions associated with scleroderma may be helped by exposure to ultraviolet light. Laser surgery also may help camouflage or eliminate these lesions.

Surgery

  • Amputation. If finger ulcers caused by severe Raynaud's disease have developed gangrene, amputation may be necessary.
  • Lung transplants. People who have developed high blood pressure in the arteries to their lungs (pulmonary hypertension) may be candidates for lung transplants.
References
  1. Scleroderma. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Scleroderma/default.asp. Accessed Aug. 4, 2008.
  2. Hummers LK, et al. Scleroderma. In: Imboden JB, et al. Current Rheumatology Diagnosis and Treatment. 2nd ed. New York, N.Y.: McGraw-Hill Companies Inc.; 2007. http://www.accessmedicine.com/content.aspx?aid=2725959. Accessed Aug. 4, 2008.
  3. Denton CP. Classification of scleroderma disorders. http://www.uptodate.com/index.html. Accessed Aug. 4, 2008.
  4. Varga J. Risk factors for and possible causes of systemic sclerosis (scleroderma). http://www.uptodate.com/index.html. Accessed Aug. 6, 2008.
  5. Varga J. Overview of the clinical manifestations of systemic sclerosis (scleroderma) in adults. http://www.uptodate.com/index.html. Accessed Aug. 6, 2008.
  6. What is a rheumatologist? American College of Rheumatology. http://www.rheumatology.org/public/rheumatologist.asp?aud=pat. Accessed Aug. 6, 2008.

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Oct. 17, 2008

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