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Old 03-08-2013, 09:10 PM #1
Synnove Synnove is offline
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Default peripheral neuropathy and scleroderma

Hello
can any one tell me how common peripheral neuropathy is with scleroderma?
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Old 03-09-2013, 07:17 AM #2
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Default It's not all that common--

--but in can happen, simply because of the compressive forces on nerve from changing skin and connective tissue from the syndrome:

http://neuromuscular.wustl.edu/antib...ml#scleroderma
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Old 03-09-2013, 09:14 AM #3
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Scleroderma also affects circulation to the fingers and toes.

I had a patient with this problem, and her hands were turning BLACK and her doctor was discussing amputation after all the drugs tried failed.

She took my advice and did epsom salt soaks for her hands and they started to get better. So I moved her up to oral magnesium (SlowMag), and natural vitamin E to improve her blood flow, and she reversed almost 100%. She had some purple cast now and then, but for the most part her hands were much more normal.
When circulation gets this poor the nerve ending can die off from lack of glucose and oxygen and from the build up of toxins from energy metabolism of the tissues.

So poor circulation from ANY cause is a prime candidate for PN in the hands and feet IMO.
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Old 03-09-2013, 10:39 AM #4
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Default Sclerodera -

both localized and systemic. A good article explaining it. I know someone just diagnosed with localized scleroderma and the sister has Raynaud's. One of my friends died from systemic scleroderma, RA, and Lupus.

http://en.wikipedia.org/wiki/Scleroderma

http://www.webmd.com/pain-management/scleroderma

And there is pain big time for person the I know and for my friend who died.
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Old 03-09-2013, 11:55 AM #5
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Quote:
Originally Posted by mrsD View Post
Scleroderma also affects circulation to the fingers and toes.

I had a patient with this problem, and her hands were turning BLACK and her doctor was discussing amputation after all the drugs tried failed.

She took my advice and did epsom salt soaks for her hands and they started to get better. So I moved her up to oral magnesium (SlowMag), and natural vitamin E to improve her blood flow, and she reversed almost 100%. She had some purple cast now and then, but for the most part her hands were much more normal.
When circulation gets this poor the nerve ending can die off from lack of glucose and oxygen and from the build up of toxins from energy metabolism of the tissues.

So poor circulation from ANY cause is a prime candidate for PN in the hands and feet IMO.
Thank you Mrs. D
See above input for comments on glennlaj's
I will try the natural Vitamin E. for the skin My neuropathy is not only in distal part like hands and feet, and I do not have the dicoloration of fingers, The neuropathy is all over, scalp,face, mouth lips an mucous membrane. That is why I am pushing the doctors to find out.
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Old 03-10-2013, 06:04 AM #6
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Quote:
Originally Posted by Synnove View Post
Thank you Mrs. D
See above input for comments on glennlaj's
I will try the natural Vitamin E. for the skin My neuropathy is not only in distal part like hands and feet, and I do not have the dicoloration of fingers, The neuropathy is all over, scalp,face, mouth lips an mucous membrane. That is why I am pushing the doctors to find out.
You should look at all the drugs you are taking. Drug induced lupus happens, and can give normal ANA testing results.

When I had my recent crisis with Lisinopril I had burning eyes, and everywhere. I am now recovering from that, but slowly.
http://www.lupus.org/webmodules/weba...=377&zoneid=17

This test is more accurate for diagnosing lupus that results from prescription drugs:
http://en.wikipedia.org/wiki/Anti-histone_antibodies
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Old 03-10-2013, 08:33 PM #7
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Originally Posted by mrsD View Post
You should look at all the drugs you are taking. Drug induced lupus happens, and can give normal ANA testing results.

When I had my recent crisis with Lisinopril I had burning eyes, and everywhere. I am now recovering from that, but slowly.
http://www.lupus.org/webmodules/weba...=377&zoneid=17

This test is more accurate for diagnosing lupus that results from prescription drugs:
http://en.wikipedia.org/wiki/Anti-histone_antibodies
Have taken Cipro a few times, but when thinking back, think it was after the neuropathy started.
Question: How does Nitrrofurantion compair to Cipro when it comes to the neuroropathy triggers? This would be good to know for the future.
Had stopped Lipitor for a while, but it made no difference in burning symptoms.
Thanks for the link, I have copied the list of meds.
Thanks
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Old 03-09-2013, 11:39 AM #8
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Quote:
Originally Posted by glenntaj View Post
--but in can happen, simply because of the compressive forces on nerve from changing skin and connective tissue from the syndrome:

http://neuromuscular.wustl.edu/antib...ml#scleroderma
thank you so much glenntaj, I will use this link.
I had vasculitis rash like the one on the picture, but in much smaller scale. had it twice. some doctors have questioned it due to negative labs.
For 12 months now the neuropathy has been getting worse and worse. Burning everywhere. I have had chest tightness for 1 year. now for last 2 months worse. Had all tests and tried GI meds. Awaiting result from Manometry studies. Bronchoscopy 2 days ago showed bronchial stenosis. Having shortness of breath. The pulmonologist does not think it is Wegeners.
And Echocardiogram now showing leaking of 3 valves, and left ventricular diastolic dysfunction. they say it is due to age. So I do not know, possible it could be scleroderma causing the neuropathy ( antibodies negative) I have developed thousands of little hard bumps on legs and arms just under skin little faint light purplich color. I have not brought this to doc's attention, thinking it was something due to Plavix. I do have Levido Reticularis.
So, I am awating a special neurologist next week re neuropathy, I will request a punch nerve biopsy. What do you think? I should find the cause of the neuropathy. So if it is Wegeners, I need strong meds sooner than later. The neuropathy is so bad, ( I am taking Lyrica 400 mg a day)that I think possibly not scleroderma , it is probably due to the vasculitis. Thanks for yopur input, I will study the link.
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