Scleroderma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical intervention is not recommended for the management of scleroderma. | Surgical [[Intervention (counseling)|intervention]] is not recommended for the management of scleroderma. However, surgical procedures such as [[debulking]] and [[lung transplantation]] are needed to treat complications of scleroderma which include [[calcinosis cutis]] and [[pulmonary hypertension]]. | ||
==Indications== | ==Indications== | ||
Surgical intervention is not recommended for the management of scleroderma. However, surgical intervention is needed to treat complications of scleroderma which include: | Surgical [[Intervention (counseling)|intervention]] is not recommended for the management of scleroderma. However, surgical intervention is needed to treat complications of scleroderma which include: | ||
*Calcinosis cutis<ref name="pmid24559627">{{cite journal |vauthors=Lapner MA, Goetz TJ |title=High-speed burr debulking of digital calcinosis cutis in scleroderma patients |journal=J Hand Surg Am |volume=39 |issue=3 |pages=503–10 |date=March 2014 |pmid=24559627 |doi=10.1016/j.jhsa.2013.12.003 |url=}}</ref> | *[[Calcinosis cutis]]<ref name="pmid24559627">{{cite journal |vauthors=Lapner MA, Goetz TJ |title=High-speed burr debulking of digital calcinosis cutis in scleroderma patients |journal=J Hand Surg Am |volume=39 |issue=3 |pages=503–10 |date=March 2014 |pmid=24559627 |doi=10.1016/j.jhsa.2013.12.003 |url=}}</ref> | ||
*Pulmonary hypertension<ref name="pmid17133609">{{cite journal |vauthors=Schachna L, Medsger TA, Dauber JH, Wigley FM, Braunstein NA, White B, Steen VD, Conte JV, Yang SC, McCurry KR, Borja MC, Plaskon DE, Orens JB, Gelber AC |title=Lung transplantation in scleroderma compared with idiopathic pulmonary fibrosis and idiopathic pulmonary arterial hypertension |journal=Arthritis Rheum. |volume=54 |issue=12 |pages=3954–61 |date=December 2006 |pmid=17133609 |doi=10.1002/art.22264 |url=}}</ref> | *[[Pulmonary hypertension]]<ref name="pmid17133609">{{cite journal |vauthors=Schachna L, Medsger TA, Dauber JH, Wigley FM, Braunstein NA, White B, Steen VD, Conte JV, Yang SC, McCurry KR, Borja MC, Plaskon DE, Orens JB, Gelber AC |title=Lung transplantation in scleroderma compared with idiopathic pulmonary fibrosis and idiopathic pulmonary arterial hypertension |journal=Arthritis Rheum. |volume=54 |issue=12 |pages=3954–61 |date=December 2006 |pmid=17133609 |doi=10.1002/art.22264 |url=}}</ref> | ||
==Surgery== | ==Surgery== | ||
*Lung transplantation is performed for patients with pulmonary hypertension that do not respond to medical therapy | *[[Lung transplantation]] is performed for patients with [[pulmonary hypertension]] that do not respond to medical therapy. | ||
*A debulking surgery is performed for patients with calcinosis cutis that do not respond to medical therapy | *A [[debulking]] surgery is performed for patients with [[calcinosis cutis]] that do not respond to medical therapy. | ||
==References== | ==References== | ||
Revision as of 16:00, 24 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Surgical intervention is not recommended for the management of scleroderma. However, surgical procedures such as debulking and lung transplantation are needed to treat complications of scleroderma which include calcinosis cutis and pulmonary hypertension.
Indications
Surgical intervention is not recommended for the management of scleroderma. However, surgical intervention is needed to treat complications of scleroderma which include:
Surgery
- Lung transplantation is performed for patients with pulmonary hypertension that do not respond to medical therapy.
- A debulking surgery is performed for patients with calcinosis cutis that do not respond to medical therapy.
References
- ↑ Lapner MA, Goetz TJ (March 2014). "High-speed burr debulking of digital calcinosis cutis in scleroderma patients". J Hand Surg Am. 39 (3): 503–10. doi:10.1016/j.jhsa.2013.12.003. PMID 24559627.
- ↑ Schachna L, Medsger TA, Dauber JH, Wigley FM, Braunstein NA, White B, Steen VD, Conte JV, Yang SC, McCurry KR, Borja MC, Plaskon DE, Orens JB, Gelber AC (December 2006). "Lung transplantation in scleroderma compared with idiopathic pulmonary fibrosis and idiopathic pulmonary arterial hypertension". Arthritis Rheum. 54 (12): 3954–61. doi:10.1002/art.22264. PMID 17133609.