
Limited scleroderma is a collagen vascular disease formerly known as CREST syndrome. CREST syndrome is characterized by calcinosis, Raynaud phenomenon, oesophageal dysmotility, sclerodactyly, telangiectasia. It is also known as limited cutaneous form of systemic sclerosis.
- SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- CAUSES OF LIMITED SCLERODERMA
- PATHOPHYSIOLOGY OF LIMITED SCLERODERMA
- DIAGNOSIS OF LIMITED SCLERODERMA
- TREATMENTS FOR LIMITED SCLERODERMA
- PROGNOSIS OF LIMITED SCLERODERMA
- COMPLICATIONS OF LIMITED SCLERODERMA
- LIMITED SCLERODERMA AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF LIMITED SCLERODERMA
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF LIMITED SCLERODERMA
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF LIMITED SCLERODERMA
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- AYURVEDIC PROGNOSIS OF LIMITED SCLERODERMA
- CHIKITSA- AYURVEDIC TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC LOCAL TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC SAMANA TREATMENT FOR LIMITED SCLERODERMA
- AYURVEDIC SHODHANA TREATMENT FOR LIMITED SCLERODERMA
- COMMONLY USED AYURVEDIC MEDICINES FOR LIMITED SCLERODERMA
- HOME REMEDIES FOR LIMITED SCLERODERMA
- DIET AND BEHAVIOUR FOR LIMITED SCLERODERMA
- YOGA FOR LIMITED SCLERODERMA
SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
Calcinosis:
- Thickening of skin with calcific nodules
Raynaud’s phenomenon:
- Cold sensitivity
- Pallor
- Cold fingers
- Reduced sensation of touch
- Numbness
- Throbbing pain in fingers or toes
oesophageal dysmotility:
- Dysphagia
- Acid reflux
Sclerodactyly:
- Thickening and tightening of the skin of fingers and hand
Telangiectasias:
- Dilated capillaries on the skin of the face, hand and mucous membrane
CAUSES OF LIMITED SCLERODERMA
- The exact cause is not known
- Autoimmune disease
- Factores genéticos
PATHOPHYSIOLOGY OF LIMITED SCLERODERMA
The pathophysiological mechanisms are not fully elucidated but seem to involve a multifactorial aetiology. The subcutaneous deposits of calcium occur in calcinosis. The arteries that supply the fingers and toes become narrow and limit blood supply when exposed to cold or stress. Over time, these small arteries become thickened slightly, further limiting blood flow and symptoms of Raynaud’s phenomenon manifested. The smooth muscles in the oesophagus replaced with fibrotic scar tissue lead to oesophageal dysmotility. Dermal fibrosis occurs in sclerodactyly. In telangiectasia, dilation of arteries in the skin occurs.
DIAGNOSIS OF LIMITED SCLERODERMA
- Proper history taking by the physician
- Physical examination
- Laboratory tests to find out underlying pathology
TREATMENTS OF LIMITED SCLERODERMA
- Treatments are given based on the underlying pathology
- Calcium channel blockers
- Surgical interventions
- Physiotherapy
PROGNOSIS OF LIMITED SCLERODERMA
- Symptoms are manageable with appropriate therapy
COMPLICATIONS OF LIMITED SCLERODERMA
- Limited scleroderma associated with pulmonary hypertension leads to heart and respiratory failure.
LIMITED SCLERODERMA AND AYURVEDA
- In Ayurveda limited scleroderma is associated with an imbalance in vata
- It can correlate with ‘uttana vataraktha’
NIDANA- AYURVEDIC CAUSES OF LIMITED SCLERODERMA
It is ‘janmakrita’ (genetic). Risk factors are;
- Excess consumption of ununctuous, dry and cold food
- Excessive physical exertion
- Suppression of natural urges
- Depletion of body tissue
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF LIMITED SCLERODERMA
- Twak roga – skin diseases
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF LIMITED SCLERODERMA
- Vata, pitta y kapha dosha se mueven por todos los canales de circulación. Debido a la naturaleza sutil de vata, impulsa a los dos doshas restantes.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moved greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the skin and blood vessels.
LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF LIMITED SCLERODERMA
- Twak sankocham – stretching of skin
- Hasta, anguli, sandhi sankocham
- Twak parushatha
- Ushna kamitwam – liking the warm environment
- Sheeta asahishnutha – cold intolerance
- Twak vaivarnya – discolouration of the skin
AYURVEDIC PROGNOSIS OF LIMITED SCLERODERMA
- Symptoms are manageable with proper Ayurvedic management
CHIKITSA- AYURVEDIC TREATMENT FOR LIMITED SCLERODERMA
AYURVEDIC SAMANA TREATMENT FOR LIMITED SCLERODERMA
- Manjishtadi kashayam
- Maharasnadi kashayam
- Gandhaka rasayanam
- Kaishore guggulu
- Mahatikthaka ghritam
- Manibhadra gulam
AYURVEDIC SODHANA TREATMENT FOR LIMITED SCLERODERMA
- Vasthi – medicated enema
- Abhyangam – oil massage on the body
- Svedana
- Lepana
- Upanaha
COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR LIMITED SCLERODERMA
Ayurvedic medicines for internal administration for limited scleroderma
- Manjishtadi kashayam
- Maharasnadi kashayam
- Gandhaka rasayanam
- Kaishore guggulu
- Mahatikthaka ghritam
- Manibhadra gulam
HOME REMEDIES FOR LIMITED SCLERODERMA
- Intake of warm water
- Intake of water boiled with ‘kokilaksha’ (a herbal medicine)
DIET AND BEHAVIOUR FOR LIMITED SCLERODERMA
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Consumir alimentos de fácil digestión
- Oil massage on body advised. Which alleviates vata dosha
- Practice regular mild exercise
- Avoid exposure to the cold environment
YOGA FOR LIMITED SCLERODERMA
- Nadi Shuddi Pranayam – calms the mind and gets relief from the feeling of cold
El paciente debe estar sentado en postura de meditación, con la cabeza y la columna vertebral erguidas y el cuerpo relajado. El paciente tiene que cerrar una fosa nasal (por ejemplo, la fosa nasal izquierda si utiliza la mano derecha y viceversa) con el pulgar y exhalar completamente por la otra fosa nasal. De nuevo, tendrá que inspirar profundamente por la otra fosa nasal mientras la fosa opuesta sigue cerrada con el pulgar.
Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.

Experto,
Medicina Ayurveda, India
Por favor, consulte al Dr. Rajesh Nair aquí-
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Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.
El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.
A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.
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