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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Systemic Sclerosis Be Treated?

Hi! My mother is suffering from systemic sclerosis and have been undergoing treatment from the last two years. Very lately, she got dark brown patches near both her armpit. Is it something to worry about? An year before she had get similar patches on her legs.
Mon, 16 Oct 2017
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Internal Medicine Specialist 's  Response
Dear as you described the lesions may be your mother suffering from

Superficial morphoea - It is typically seen as symmetrical mauve-coloured patches, usually in skin folds of the groin, armpits or under breasts. This type is most commonly found in middle-aged women.

Superficial morphoea part of localised scleroderma.


Medical Care


Lesions of superficial circumscribed morphea often undergo gradual spontaneous resolution over a 3- to 5-year period. Limited disease can often be managed with topical therapy or lesion-limited phototherapy.

Treatment of active lesions with superpotent topical or intralesional corticosteroids may help reduce inflammation and prevent progression, although there is a lack of data supporting their efficacy.
Tacrolimus 0.1% ointment applied twice daily for 12 weeks may be a useful first-line agent for active, limited plaque morphea, as supported by a small double-blind, placebo-controlled study.
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How Can Systemic Sclerosis Be Treated?

Dear as you described the lesions may be your mother suffering from Superficial morphoea - It is typically seen as symmetrical mauve-coloured patches, usually in skin folds of the groin, armpits or under breasts. This type is most commonly found in middle-aged women. Superficial morphoea part of localised scleroderma. Medical Care Lesions of superficial circumscribed morphea often undergo gradual spontaneous resolution over a 3- to 5-year period. Limited disease can often be managed with topical therapy or lesion-limited phototherapy. Treatment of active lesions with superpotent topical or intralesional corticosteroids may help reduce inflammation and prevent progression, although there is a lack of data supporting their efficacy. Tacrolimus 0.1% ointment applied twice daily for 12 weeks may be a useful first-line agent for active, limited plaque morphea, as supported by a small double-blind, placebo-controlled study.