Scleroderma surgery

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.

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[pmid24559627-1] 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.

[pmid17133609-2] 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.

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