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Concerns about possible connective tissue disease in my mother
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Rheumatic & Autoimmune Conditions
Question #23924
90 days ago
184

Concerns about possible connective tissue disease in my mother - #23924

Client_fd269e

Тема: Подозрение на системное заболевание соединительной ткани. Описание ситуации: «Здравствуйте! Прошу проконсультировать по поводу состояния моей мамы. Жалобы: Сильные боли в руках и ногах, постоянный озноб (сильно мерзнет даже в тепле). На теле появились розоватые пятна . На подушечке пальца ноги появилась темная точка Анамнез: У матери пациентки (моей бабушки) была диагностирована системная склеродермия. Вопросы: Насколько данные симптомы и наследственность характерны для начала склеродермии или васкулита? Какие анализы нам нужно сдать в первую очередь (АНФ, специфические антитела, СРБ), чтобы подтвердить или исключить диагноз? Требуется ли срочная госпитализация при таких кожных проявлениях и болях?»

How long has your mother been experiencing these symptoms?:

- 1-6 months

Has she noticed any specific triggers for her symptoms?:

- Cold weather

Has she had any previous diagnoses or treatments for similar symptoms?:

- Not sure
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
90 days ago
5

Hello

Your mother’s symptoms could be early autoimmune/connective tissue disease, but not necessarily scleroderma or vasculitis.

Initial tests: ANA (screening) Specific antibodies: Anti-Scl-70, Anti-centromere, Anti-RNP CRP/ESR, CBC, basic metabolic panel

Hospitalization:

Only urgent if fingertip turns black/necrotic, pain is severe, or fever develops.

Otherwise, see a rheumatologist promptly for evaluation.

I trust this helps Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
89 days ago
5

Hello dear See the symptoms can be related to reynaud phenomenon or scleroderma Hospitalization is must. I am suggesting some tests Please share the result with general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician Hopefully your mother recover Esr CBC Ana Crp Rft D dimer Tsh Regards

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Симптомы, которые вы описали, могут потенциально указывать на заболевание соединительной ткани, возможно, ориетированное на аутоиммунные процессы, такие как склеродермия или васкулит. Семейный анамнез повышает риск, однако важно учитывать, что для достоверной диагностики нужны дополнительные данные и обследования. Для начала, сдача анализа на антинуклеарные антитела (ANA) может помочь, так как положительный результат часто встречается при аутоиммунных заболеваниях, включая склеродермию. Рекомендовал бы также исследовать специфические антитела, такие как анти-Scl-70, которые ассоциированы с системной склеродермией. Помимо этого, оценка уровня C-реактивного белка (CRP) и скорости оседания эритроцитов (ESR) может помочь в выявлении воспалительного процесса. Что касается кожных проявлений и болей, важно показать вашей маме врачу как можно скорее, так как розовые пятна и изменение цвета пальцев могут свидетельствовать о кожной или васкулярной патологии, требующей срочного внимания. Если появляется значительное ухудшение состояния, например, сильная слабость, дыхательная недостаточность или резкая боль, госпитализация может быть необходима. Следует также рассмотреть консультацию с ревматологом, который специализируется на таких заболеваниях и может предложить дальнейшие диагностические шаги и возможные варианты лечения с учетом индивидуальных особенностей состояния вашей мамы.

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