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How do you specifically counsel patients on conservative measures such as hand warming in the treatment of SSc associated digital ulceration?

In addition to the usual pharmcotherapy (CCBs, etc.)
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How do you counsel patients on conservative measures in the treatment of SSc associated digital ulceration?

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Rheumatology · Mayo Clinic
Answered on

While Raynaud’s is nearly universal in Systemic sclerosis, digital ulcerations occur in approximately 30% of these patients yearly and tend to recur, with 2/3rd developing another one despite the use of vasodilators. Irreversible tissue loss, osteomyelitis, gangrene, and amputation are unfortunate c...

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