Guest guest Posted June 12, 2001 Report Share Posted June 12, 2001 Help needed! Young lady suffers a lot of her disease MCTD and asks help from astrologers. Does her chart indicate this disease and are there any treatments? Birthdata 16.5.1960 klo 18.37 Helsinki. MCTD Mixed connective tissue disease, as first described in 1972, is "classically" considered as an "overlap" of three diseases, systemic lupus erythematosus, scleroderma, and polymyositis. It is a disorder of the immune system, which normally functions to protect the body against invading infections and cancers, and toxins. In Mixed Connective Tissue Disorder, as in other autoimmune diseases parts of the complex immune system is over-active and produces increased amounts of abnormal antibodies that attack the patient's own organs. MCTD can affect many parts of the body, including the joints, skin, kidneys, lungs, heart, endocrine, digestive, and nervous system, blood vessels which all are made up of connective tissue. There are reports of psychiatric disturbances similar to those found in Lupus. The signs and symptoms of MCTD differ from person to person, with the symptoms of either Lupus, or Scleroderma, or Myositis or other autoimmune disease being most prevalent. Since its manifestations can vary it is often misdiagnosed. The disease can range from mild to life threatening. It can be mild for many years, and then after about 20 years of having the disease a medical crisis may occur. The lungs and kidneys are particularly at risk. Lungs and kidneys symptoms are particularly serious involvement and should be monitored vigilantly by both the doctor and the patient. It is estimated to attacks women eight to fifteen times more frequently than it attacks men. So, it is primarily a woman's disease, as are most of the 80 or so autoimmune diseases. It is hypothesized that there is a hormonal component to the disease, which accounts for the higher prevalence in women. According to American Autoimmune Related Diseases Association, Approximately 50 million Americans, 20 percent of the population or one in five people suffer from some 80 autoimmune diseases. Of these, the majority are women with perhaps 30 million affected. Most people have subtle signs and symptoms of the disease many years before ever getting a diagnosis. They can include fingers swelling, joint and or muscular pain, irritable bowel syndrome, digestive problems, Raynaud's symptoms (fingers turning white when cold), allergies, general malaise, sleep disturbances and quite frequently overwhelming fatigue. Sometimes the symptoms feel like the flu. Some patients have frequent infections including gum infections, sore throats, stomach infections, and respiratory infections. Symptoms vary, and each person's illness can be quite different. What causes the disease? No one has an answer at this point. It is poorly understood, and since it is rare, it is difficult to obtain subjects or money to support medical studies. Much of what is known about it is based on knowledge of other diseases. There may be a genetic predisposition. It is known that autoimmune diseases run in families, although family members may have different autoimmune disease. There seems to be some kind of hormonal connection. There are several theories that are discussed in the medical literature. Somehow, the body's immune system is attacking organs in the body as if it were an intruding source. Intruding sources could be an infection, cancer, bacteria, virus, mycoplasma or environmental factor. Even fetal cell has been theorized to be sufficient to activate the immune system. No matter what starts the process (and this is the most important research going on), the results is an over production of collagen creating fibrosis in the internal organs including the kidneys, heart, lungs, stomach and joints all of which are made up of connective tissue. As of yet no one has proven what source is attacking the body. Theories include virus, mycoplasma, and environmental substances. Additionally, a person could have an immune deficiency, such that their body can not rid itself of attacks from virus, mycoplasma, bacteria or even fungi. It is not likely there will be a cure until the cause of this disease is identified. The treatments for Mixed Connective Tissue Disorder are similar to those used for other autoimmune diseases. There are few studies of the effectiveness of most of the medications since this is such a rare disease. There are medications to control symptoms, as well as anti-inflammatory, immune suppressing, immune modifying, which are used to try and change the course of the illness. Many medications are used to control the various symptoms. Patients often need to take a combination of medications to eliminate pain and reduce symptoms. These can include aspirin, Tylenol anti-acids, medications for diarrhea, reflux. Heart medications sometimes help control the Raynaud's symptoms (cold extremities). There are ACE inhibitors which can protect the kidney from damage. Medications for MCTD may also include other non-steroidal anti-inflammatory drugs, antimalarials, corticosteroids, and other immunosuppressants. Anti-inflammatories Steroids, d-penicillimine, and methotrexate are used to reduce inflammation that seems to lead to fibrosis. But, they depress the immune system and there are great risks from the long-term side effects. Since the immune system is suppressed, infection and cancer is a concern. As newer and better drugs are proven effective, these drugs will not be used in the future. Other treatments used with people with serious symptoms are the cancer and organ transplant medications. These medications also depress the immune system. Presently Cytoxin a cancer fighting drug is being tested in many sites around the nation. Even stem-cell transplant, which is a very high-risk treatment because it wipes out the immune system totally, has been used with some success in the few patients who have undergone that treatment. Newer Treatments: Research in Immunology has lead to immune modifying treatments such as Gamma Globulin, Photopheresis, and Plasmapheresis for autoimmune disease. Photopheresis, developed at Yale University, modifies the immune system by using a light source on the white blood cells that contain the immune cells (the T-cells and B-cells). It is the only treatment that has gone through a blinded, phase 3, multi-center trial and found successful for Scleroderma. 68% of the 31 patients treated with Photopheresis showed significant skin improvement as compared with 32% of the 25 patients who were treated with D-penicillamine. Gamma Globulin has been shown highly effective to stabilize patients with many autoimmune diseases, especially Lupus. Gamma Globulin is made up of the white cells of hundreds of people, and is given intravenously. Side effects from both Photopheresis and Gamma Globulin are transient, mainly flu like symptoms. Interferon is being investigated as a treatment for pulmonary fibrosis with no know origin (Ideopathic).The fibrosis from MCTD may not be the same as Ideopathic Pulmonary Fibrosis. Photopheresis, Gamma Globulin, Interferon, and Plasmapheresis are all newer treatments and are not well understood, but have been found effective in slowing or stopping the illness. These treatments are usually not provided by a Rheumatologist. Photopheresis is provided by dermatologists; Gamma Globulin by an Immunologist; and Interferon Gamma by a Pulmonologist. They may not be a cure, but have put people in a state of remission, without the side effects of depressing the immune system. Antibiotics for Autoimmunity: Similarly, there are many people world-wide using low dose long-term antibiotics for autoimmune diseases. Thomas McPherson Brown MD has shown that antibiotics enhance the immune system by removing Mycoplasma that the immune system is attempting to eliminate. Research studies by O'Dell et al. supported by the U.S. National Institute of Health have shown that antibiotics can put Rheumatoid Arthritis into remission. There have been a number of other studies replicating these results. Low dose Antibiotics have been found to be useful with any autoimmune disease. Recently, there has been a small study out of Harvard by Trentham, MD reported in the Journal Lancet, showing that antibiotics put Scleroderma into remission in most of the subjects who stayed in the open label study. A larger study with 150 Scleroderma patients is being held presently. The advantage of this treatment is that there are relatively few side effects, mainly flu like symptoms, or flares of the original symptoms, then great improvement. It has no damaging effects on the body and is relatively inexpensive since the antibiotics are used in low dosage. It can be used in conjunction with almost any other medication. Once it begins to be effective, drugs that are more toxic can be eliminated. Unfortunately, it is relatively slow to get to remission. Therefore, it is better to start this medication as soon as a diagnosis is made. People with long standing illnesses will need a longer course of treatment and stronger antibiotics. With serious symptoms, it is recommended that a doctor is located with experience in the use of this treatment. Mixed Connective Tissue Disease At A Glance: 1) Connective tissues are the framework of the cells of the body. 2) MCTD is an "overlap" combination of connective tissue diseases. 3) Diagnosis of MCTD is supported by detecting abnormal antibodies in the blood. 4) Treatment of MCTD is directed at suppressing immune-related inflammation of tissues. Quote Link to comment Share on other sites More sharing options...
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