Limited scleroderma is a collagen vascular disease formerly known as CREST syndrome. CREST syndrome is characterized by calcinosis, Raynaud phenomenon, oesophageal dysmotility, sclerodactyly, telangiectasia. It is also known as limited cutaneous form of systemic sclerosis.
- SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- CAUSES OF LIMITED SCLERODERMA
- PATHOPHYSIOLOGY OF LIMITED SCLERODERMA
- DIAGNOSIS OF LIMITED SCLERODERMA
- TREATMENTS FOR LIMITED SCLERODERMA
- PROGNOSIS OF LIMITED SCLERODERMA
- COMPLICATIONS OF LIMITED SCLERODERMA
- LIMITED SCLERODERMA AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF LIMITED SCLERODERMA
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF LIMITED SCLERODERMA
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF LIMITED SCLERODERMA
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- AYURVEDIC PROGNOSIS OF LIMITED SCLERODERMA
- CHIKITSA- AYURVEDIC TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC LOCAL TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC SAMANA TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC SHODHANA TREATMENT FOR LIMITED SCLERODERMA
- COMMONLY USED AYURVEDIC MEDICINES FOR LIMITED SCLERODERMA
- HOME REMEDIES FOR LIMITED SCLERODERMA
- DIET AND BEHAVIOUR FOR LIMITED SCLERODERMA
- YOGA FOR LIMITED SCLERODERMA
SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
Calcinosis:
- Thickening of skin with calcific nodules
Raynaud’s phenomenon:
- Cold sensitivity
- Pallor
- Cold fingers
- Reduced sensation of touch
- Numbness
- Throbbing pain in fingers or toes
oesophageal dysmotility:
- Dysphagia
- Acid reflux
Sclerodactyly:
- Thickening and tightening of the skin of fingers and hand
Telangiectasias:
- Dilated capillaries on the skin of the face, hand and mucous membrane
CAUSES OF LIMITED SCLERODERMA
- The exact cause is not known
- Autoimmune disease
- Genetic factors
PATHOPHYSIOLOGY OF LIMITED SCLERODERMA
The pathophysiological mechanisms are not fully elucidated but seem to involve a multifactorial aetiology. The subcutaneous deposits of calcium occur in calcinosis. The arteries that supply the fingers and toes become narrow and limit blood supply when exposed to cold or stress. Over time, these small arteries become thickened slightly, further limiting blood flow and symptoms of Raynaud’s phenomenon manifested. The smooth muscles in the oesophagus replaced with fibrotic scar tissue lead to oesophageal dysmotility. Dermal fibrosis occurs in sclerodactyly. In telangiectasia, dilation of arteries in the skin occurs.
DIAGNOSIS OF LIMITED SCLERODERMA
- Proper history taking by the physician
- Physical examination
- Laboratory tests to find out underlying pathology
TREATMENTS OF LIMITED SCLERODERMA
- Treatments are given based on the underlying pathology
- Calcium channel blockers
- Surgical interventions
- Physiotherapy
PROGNOSIS OF LIMITED SCLERODERMA
- Symptoms are manageable with appropriate therapy
COMPLICATIONS OF LIMITED SCLERODERMA
- Limited scleroderma associated with pulmonary hypertension leads to heart and respiratory failure.
LIMITED SCLERODERMA AND AYURVEDA
- In Ayurveda limited scleroderma is associated with an imbalance in vata
- It can correlate with ‘uttana vataraktha’
NIDANA- AYURVEDIC CAUSES OF LIMITED SCLERODERMA
It is ‘janmakrita’ (genetic). Risk factors are;
- Excess consumption of ununctuous, dry and cold food
- Excessive physical exertion
- Suppression of natural urges
- Depletion of body tissue
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF LIMITED SCLERODERMA
- Twak roga – skin diseases
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF LIMITED SCLERODERMA
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moved greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the skin and blood vessels.
LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- Twak sankocham – stretching of skin
- Hasta, anguli, sandhi sankocham
- Twak parushatha
- Ushna kamitwam – liking the warm environment
- Sheeta asahishnutha – cold intolerance
- Twak vaivarnya – discolouration of the skin
AYURVEDIC PROGNOSIS OF LIMITED SCLERODERMA
- Symptoms are manageable with proper Ayurvedic management
CHIKITSA- AYURVEDIC TREATMENT FOR LIMITED SCLERODERMA
AYURVEDIC SAMANA TREATMENT FOR LIMITED SCLERODERMA
- Manjishtadi kashayam
- Maharasnadi kashayam
- Gandhaka rasayanam
- Kaishore guggulu
- Mahatikthaka ghritam
- Manibhadra gulam
AYURVEDIC SODHANA TREATMENT FOR LIMITED SCLERODERMA
- Vasthi – medicated enema
- Abhyangam – oil massage on the body
- Svedana
- Lepana
- Upanaha
COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR LIMITED SCLERODERMA
Ayurvedic medicines for internal administration for limited scleroderma
- Manjishtadi kashayam
- Maharasnadi kashayam
- Gandhaka rasayanam
- Kaishore guggulu
- Mahatikthaka ghritam
- Manibhadra gulam
HOME REMEDIES FOR LIMITED SCLERODERMA
- Intake of warm water
- Intake of water boiled with ‘kokilaksha’ (a herbal medicine)
DIET AND BEHAVIOUR FOR LIMITED SCLERODERMA
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible food items
- Oil massage on body advised. Which alleviates vata dosha
- Practice regular mild exercise
- Avoid exposure to the cold environment
YOGA FOR LIMITED SCLERODERMA
- Nadi Shuddi Pranayam – calms the mind and gets relief from the feeling of cold
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
Dr. Rajesh Nair,
Expert,
Ayurveda Medicine, India
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