How do you manage patients with scleroderma who present with finger ulcerations without other signs of soft tissue infection and MRI demonstrates potential concern for osteomyelitis?
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How do you manage patients with scleroderma who present with finger ulcerations without other signs of soft tissue infection and MRI demonstrates potential concern for osteomyelitis?
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2 Answers
Mednet MemberInvited Expert
Rheumatology · Johns Hopkins University
Answered on
I think this is a tricky situation. Sometimes there is bone damage from acro-osteolysis from the ischemic injury of the scleroderma itself, which can sometimes be difficult to distinguish from osteomyelitis. I would consider watching closely for other signs of deeper infection. You could also consid...
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Mednet Member
Rheumatology · NCH Baker Hospital
Answered on
I use Mupirocin ointment which help prevent infection and seems to assist in healing.
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