POUR
SCLERODERMA
SYSTEMIC SCLEROSIS
INTERSTITIAL LUNG DISEASE
​Symptoms:
-
Thickening and hardening of ear lobes
-
Thick and hard cheeks/face
-
Tight thick feeling across shoulders and back
-
Eyes squinting
-
Toothbrush didn’t fit between teeth and lip
-
Rounder tighter face
-
All skin taut/tight/thick feeling
-
Smooth forehead, unable to raise eyebrows
Some tests to help diagnose scleroderma
-
Pulmonary Function Test (PFT)
-
Skin Biopsy (arm and back side)
-
Renal Scan / Doppler
-
Echocardiogram and EKG
-
Swallow Study and Upper GI
-
Lung CT scan
-
Various blood tests (21 vials of blood)
-
Visual inspection
-
Joint testing
Grace today:
-
CT scan shows 100% normal lung tissue
-
Her skin has softened approx. 95%
-
Facial symptoms appears normal
-
Hands improved significantly
-
Gross and fine motor skills improved
-
Improved PFT
-
Difficulty healing skin
March 25, 2015
Face tight, eyes pulled, mouth narrowed and pulled, rounder wide face, forehead smooth, hands became puffy
PFT & Lung CT
I have interstitial lung disease; it is very important that I complete a Pulmonary Function Test (PFT) twice a year. In the beginning, I had several CT scans to monitor the progression of my disease. As long as my symptoms are stable, and my PFT results are normal I do not need any chest CT scans for several years.
Vision Test & Swallow Study
Vision can be affected by scleroderma. Regular monitoring is important. I also have fibrosis in my esophagus, so I have had frequent swallow studies.
Movement and Flexibility Testing
From the beginning I was stiff. Getting into a bed or car was very hard. Doctors monitor my range of motion and flexibility 2-4 times a year.
Variety of Treatments including UV
I had to stop UV treatments due to sensativity issues.
IV drug therapies
May 10, 2015
-
Methylprednislone
-
Cyclophosamide (Cytoxan)
-
IVIG
-
Retuximab
-
Benedryl
-
Bactrim (oral)
-
Cellcept (oral)
Child Life
The Child Life Department helped me understand the process of having a port put in her chest, and how it would be used to deliver medication.
Recovery room after Port Surgery
They took an X-ray to check the port position.
The first time her port was accessed
Having a port for infusions and blood draws was alot easier and less painful than constant needle pokes in my arm.
Always keeping busy in the hospital is key
Art projects, visits from dogs, music therapy and books kept me busy.
Outpatient Infusion Center June 2015
Eventually I was able to receive infusions in the outpatient clinic at University of Michigan Mott Hospital.
Steroids cause Cushing's Syndrome
You can see how swollen the steroid infusions made me, this eventually caused Cushing's Syndrome. I had to discontinue steroid treatment.