Scleroderma: Treatment Options and Patient Concerns in Taiwan - Rare Disease

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The struggles of patients with scleroderma?


Hello Doctor: My father is a patient with a rare disease called scleroderma.
He is currently receiving treatment at Kaohsiung Veterans General Hospital, with regular check-ups once a month.
His condition has not progressed much, and he relies on a large number of medications taken with his meals.
This has been going on for over three years.
I heard that the artist Ko Ling-feng is also a patient with this disease and has recovered (I am not sure if this is true).
I would like to ask: 1.
Is there currently a way for medical technology in Taiwan to effectively treat scleroderma? 2.
How long does he need to continue taking this large number of medications? Are they effective? 3.
Are there any medical organizations in Taiwan researching treatment methods for this condition?
Thank you for taking the time to respond!

randy, 30~39 year old female. Ask Date: 2004/06/08

Dr. Yang Kunde reply Rare Disease


Scleroderma is an autoimmune disease in which the immune cells attack the skin.
The severity varies among individuals.
In its simplest form, it affects the skin; in more complex cases, it can involve internal organs, particularly the gastrointestinal tract.
Therefore, treatment also varies in intensity.
Currently, the primary treatment remains immunosuppressants, and there have been attempts to use peripheral blood stem cell transplantation, but the effectiveness is still unclear.
The focus remains on immunosuppressive therapy, with supportive functional assistance as an adjunct.

Reply Date: 2004/06/08

More Info


Scleroderma, also known as systemic sclerosis, is a rare autoimmune disease characterized by the hardening and tightening of the skin and connective tissues. It can affect various organs, leading to a wide range of symptoms and complications. In Taiwan, as in many parts of the world, the management of scleroderma involves a multidisciplinary approach, focusing on symptom relief and preventing complications rather than a definitive cure.

1. Current Treatment Options in Taiwan: While there is no cure for scleroderma, treatment options are available to manage symptoms and improve the quality of life for patients. In Taiwan, healthcare providers may prescribe medications such as immunosuppressants (e.g., methotrexate, mycophenolate mofetil) to help control the immune response and reduce inflammation. Other medications may include vasodilators (like sildenafil) to improve blood flow and manage pulmonary hypertension, which can be a serious complication of scleroderma. Physical therapy and occupational therapy are also important components of treatment, helping patients maintain mobility and function.
In recent years, advancements in medical technology and research have led to the development of new therapies, including biologics that target specific pathways in the immune system. However, the effectiveness of these treatments can vary from patient to patient, and ongoing research is essential to identify more effective strategies.

2. Duration of Medication: The duration of medication for scleroderma patients can vary significantly based on the severity of the disease and the specific symptoms being treated. Many patients may need to take medications for an extended period, often for years, to manage their symptoms effectively. Regular follow-ups with healthcare providers are crucial to monitor the disease's progression and adjust treatment plans accordingly. While some patients may experience stabilization or improvement in their condition, others may require ongoing treatment to manage chronic symptoms.

3. Research and Support Groups in Taiwan: In Taiwan, there are medical organizations and support groups dedicated to autoimmune diseases, including scleroderma. These groups often provide resources for patients and families, including educational materials, support networks, and information about clinical trials. While specific research initiatives focused solely on scleroderma may be limited, many rheumatology departments in hospitals are involved in broader research on autoimmune diseases, which can include scleroderma.

It is also worth noting that patient advocacy groups can play a significant role in raising awareness about scleroderma and promoting research funding. Engaging with these organizations can provide patients and their families with valuable information and support.

In conclusion, while there is currently no cure for scleroderma, effective management strategies are available in Taiwan. Patients like your father can benefit from a comprehensive treatment plan tailored to their specific needs, which may include medications, therapy, and regular monitoring. It is essential to maintain open communication with healthcare providers to ensure the best possible outcomes. If you have further questions or concerns, consider discussing them with your father's healthcare team, who can provide personalized guidance based on his condition.

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