DAY 4 - Symptoms
The
symptoms of Scleroderma can differ from patient to patient, with no two
patients displaying the exact same set of symptoms.
This makes diagnosis and
treatment more challenging to meet the needs of the individual patient.
In
all types of scleroderma (see Day 1 Scleroderma Awareness Month, for
the different types), the skin is affected.
In the diffuse form, all parts of
the body can be affected, including soft tissue, organs and other complications
as a result.
Stiff,
puffy fingers along with thick, tight itchy skin, difficulty in swallowing,
stomach cramps and pain, with swollen joints and immense tiredness, are the
typical symptom hallmarks of the diffuse scleroderma patient.
Early
diagnosis is crucial to prevent potential life threatening damage.
Treatments
are targetted at symptom suppression only, with a cure still to be discovered. Organ
transplant is a final option, if the patient fits the relevant criteria,
including being strong enough to withstand the procedure.
I
have lived with diffuse Scleroderma for 19 years, since 1997. Although, it is
likely that I presented with some of the symptoms some time before diagnosis, I
just put them down to being a normal 24 year old loving life, with a busy
social life and professional career.
However,
my hands turned stiff and non functional, similar to arthritic symptoms,
prompting me to seek medical intervention.
Diffuse
scleroderma can be extremely aggressive in its progression, attacking the
body’s organs and causing irreversible damage.
Chemotherapy and
immunosuppressive agents help at suppressing the symptoms with organ transplant
and stem cell transplant being the final treatment / management options, see
above.
Early
diagnosis is crucial to attempt to prevent lasting potentially life threatening
damage.
And, even then, not everyone will respond to the pharmaceutical
treatments which are currently available.
I
see myself as being an extremely lucky diffuse scleroderma patient. Lucky in
that I have minimal internal organ damage, and I am still around to shout all
about what scleroderma can do.
My full time job is managing my symptoms, which
on some days is easier than others.
I am
eternally grateful for the medical expertise and care from Prof. Dame Black and
Prof. Christopher Denton, who quite literally saved my life.
My diagnosing
Doctor had given me a prognosis of 15 months in September 1997. In December
1998, I had my first consultation with Prof Dame Black and then Prof Denton,
who I ‘knew’ would help me get better.
I
spent the first seven years taking chemotherapy / immunosuppressants. I am now
12 years free from this regime. I have reduced the 24 tablets a day, back in my
hey day, to just 2 tablets a day.
I take Bosentan for my Raynaud’s, and digital
ulcers. My hands are the best that they have been since before diagnosis,
having taken Bosentan continuous for three years plus now, and very importantly
to me- ulcer free!
I
have a strict daily routine for managing and respecting my diffuse symptoms,
including a strict diet which includes daily fresh juices made by me, in my
pharmacy, which is my kitchen!
I am
a living example that this diagnosis can be managed on a long term basis, and
for this, I know, I am truly blessed, even if, I am now a scleroderma parrot.
An edited version of this article was published here, in my Column with Scleroderma News.
June 2016.
To read my articles:
Rare Disease Day 2018, Research - Taking Part in Clinical Trials, Click here
March Autoimmune Disease Awareness Month 2018, Click here
Global patient video, Click here
If we only had more RESEARCH investment for
Scleroderma, Raynaud's, Autoimmune Rare Disease, Click here
The Pandora’s Box of the rare autoimmune disease
Scleroderma, Raynaud's and Cancer, Click here
The Importance of a Multi Disciplinary Medical
‘Dream Team’, Click here
Expert Specialist Centres, Click here
Expert Specialist Centres, Click here
World Scleroderma Day 29th June 2016,
Click here
RARE DISEASE DAY:
Rare Disease Day 2018 – Research, Taking
Part in Clinical Trials. Scleroderma, Raynaud's, Autoimmune Rare Disease, Click here
2016 Rare Disease Day Patient Voice
2016 Rare Disease Day Patient Voice
Rare
Disease Day is a fantastic opportunity for the entire rare disease
community to shine a spotlight on their reality, combining as one unified
voice. Where, at least one commonality presides –
Medical
Research provides the brightest light
for the illumination of the rare disease
patients’ plight.
I
highlighted other areas of medical research interest within Week 3 of my Patient Profiles Campaign for Scleroderma Awareness Month 2017.
VIDEO
VIDEO
Although
rare disease patients are few in number, eg. 2.5 million scleroderma patients
worldwide, (the World Scleroderma Foundation), the commonalities and golden
hallmark for each rare disease patient are the same:
Early Diagnosis
Expert Specialist Centres
Access to Innovative Medicines
Where MEDICAL RESEARCH investment
is VITAL.
Research
is the key. Abstracts from 2016 World Congress, Click here
The Family Day at the Scleroderma Unit, The Royal
Free Hospital is taking place on the 19th May 2018. Browse the
program, here
This year, I am celebrating 20 years of being a
patient at this world leading expert specialist research centre.
Sept 2017 |
I am eternally grateful to the global scleroderma
trail blazers Dame Prof Black and Prof Chris Denton, whose commitment and
dedication to unlocking the scleroderma enigma, is nothing other than,
superhuman.
I am truly humbled and inspired by their work
ethic. I am wholly appreciative for Prof Denton’s continued medical expertise
and support, especially during my barrister qualifying years, 1997 -
2004.
1st March 2004, I qualified as a self
employed practising barrister. Further to having been told in 1997, by my
diagnosing doctor, that I was looking at a 15month prognosis.
I very much hope to utilise my professional skills
and qualifications along with my patient experience, to help achieve the
#SclerodermaFreeWorld dream, hoping to improve understanding and best practice,
in the meantime.
For latest updates follow:
Facebook Page:
Twitter: @SclerodermaRF @RaynaudsRf
Google Plus: RaynaudsSclerodermaAwarenessGlobalPatients
#SclerodermaFreeWorld
#RaynaudsFreeWorld
#ADAM #Scleroderma
#Raynauds
#RareDisease
Living the dream, scleroderma style.
Please DONATE to help
fund medical research at The Scleroderma Unit,The Royal Free Hospital, London.
100% of your monies will be used for medical
research purposes only. Thank You.
#HOPE
Last Update: April 2018
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