Is it typical for Reynaud's disease symptomatology to increase in severity over time in persons with scleroderma?
Answer
The severity of the symptoms do not really increase, but the consequences of the disease can. Over time, there can be increased tissue damage. This increased tissue damage can lead to internal problems, such as a change in respiration, causing shortness of breath, or a nonproductive cough. Muscle loss and weakness can also occur. Tissue breakdown, necrosis, non-healing sores and quite possibly amputations can also be seen as a result of this progressive tissue damage.
Janet Poole, Ph.D., OTR/L, FAOTA
Dr. Poole is a Professor in the Occupational Therapy Graduate Program at the University of New Mexico. She received her BS degree in Occupational Therapy from Colorado State University, her MA degree in Educational Psychology from the University of North Carolina Chapel Hill and her PhD in motor learning/motor control from the University of Pittsburgh. Dr. Poole’s research interest is in scleroderma and the functional impact of the disease on tasks of daily living, oral hygiene, parenting and employment. She has conducted a number of studies examining rehabilitation interventions with people with scleroderma and, with a colleague, is developed a self-management program for persons with scleroderma. She has also authored several textbook chapters on rehabilitation for persons with scleroderma.
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