Help with Morphea treatment

Posted by gila @gila, Dec 23, 2023

I was just diagnosed by skin biopsy with Morphea scleroderma after 2 years of constant fatigue and many changing symptoms after having my second round of Covid. I was fully vaccinated with the Pfizer vaccine. My plaques are mostly my chest, trunk and upper thighs. Currently taking Hydroxychloroquine to calm immune system down and Gabapentin for the nerve pain, the pins and needles and burning skin. I also have clobetasol ointment twice a day mixed into Jojoba oil to my skin. The doctor says Morphea often “burns itself out in 5 years”, but can come back. I would like to connect with others who have or have had this disease. What treatments worked best for you? Did your disease go into remission? Did your muscles also ache and get very stiff? Did diet affect your symptoms? I seem to react to many foods now.
Thank you

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Profile picture for anakr @anakr

@sarahintexas
Hello, I've just been diagnosed and I have so many questions. My first question is what is the Autoimmune Protocol?
I've just started with topical creams and may get the phototherapy but that is still to be determined.
Would appreciate hearing about someone's experience with phototherapy.
Thank you!
Ana

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Hello Ana @anakr, Welcome to Connect. I thought I would respond to your reply to @sarahintexas to let you know there is another discussion on your question that you might find helpful:
-- AIP diet for autoimmune illnesses: https://connect.mayoclinic.org/discussion/aip-diet-for-autoimmune-illnesses/

While you wait for others to respond I did a search of Connect for members who have posted about phototherapy and thought you might like to scan through the discussions and comments on the topic - https://connect.mayoclinic.org/search/.

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Hi Ana, thanks for your note! You were diagnosed with Morphea? Sorry to hear, and hope you're working with a doctor you like. At the time my Morphea was active (over 24 years ago) phototherapy wasnt offered to me, but I too tried some creams. The Autoimmune Protocol is a temporary diet, in which you restrict all known inflammatory foods and drinks for a time, and then start adding them back one by one, to test whether they worsen your autoimmune condition. This is typically done under the direction of a doctor, and I'm not sure whether it's believed to help Morphea symptoms. And in fact, my current Rheumatologist doesn't believe food restrictions will help with my autoimmune conditions (recently re-diagnosed as Lupus, MCTD, and Hashimoto's). Regardless, the removal of processed, gluten, and dairy items makes me feel better overall, so I'll keep it up for a bit. Wishing you all the best!

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I just saw this post, but I find it very helpful. I have had Morphea since January, but have Lichen as well.. the doctors are not sure about the Lichen part, but the fact is that I have patches all over my body, from small red, open soars, and thickened skin. Mostly my upper body, but linear scleroderma on my legs and arms. I was hospitalized for a week and took all kinds of tests. I find the whole condition like hell! Itching, burning skin, and maybe the worst, the tightening of the legs. Need compression, difficulty with stretching and some time walking. I took Metotrexat for 5 weeks, but I believe it worsened my skin. Now I’m about starting with CellCept, and a bit worried- what will that do? But desperate at the moment, so I must try. I’ve lost quite a few pounds, is that due to the Morphea? So few people know about this condition, so I’m happy and hopeful finding this support group. This definitely is a horrible disease (but thankfully it’s not fatal).

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Profile picture for hildeirene @hildeirene

I just saw this post, but I find it very helpful. I have had Morphea since January, but have Lichen as well.. the doctors are not sure about the Lichen part, but the fact is that I have patches all over my body, from small red, open soars, and thickened skin. Mostly my upper body, but linear scleroderma on my legs and arms. I was hospitalized for a week and took all kinds of tests. I find the whole condition like hell! Itching, burning skin, and maybe the worst, the tightening of the legs. Need compression, difficulty with stretching and some time walking. I took Metotrexat for 5 weeks, but I believe it worsened my skin. Now I’m about starting with CellCept, and a bit worried- what will that do? But desperate at the moment, so I must try. I’ve lost quite a few pounds, is that due to the Morphea? So few people know about this condition, so I’m happy and hopeful finding this support group. This definitely is a horrible disease (but thankfully it’s not fatal).

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@hildeirene

Cellcept may be helpful with skin tightness. It may not be easy to tolerate, but you can stay on lower doses - as much as tolerated, even like 500 mg per day. More effective dose levels are 1000mg/day and above.

Rituximab IV infusions, which is a rheumatoid arthritis drug, is now being used off-label in scleroderma and systemic sclerosis. You may want to ask your doctor if they can get it for you.

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Profile picture for hildeirene @hildeirene

I just saw this post, but I find it very helpful. I have had Morphea since January, but have Lichen as well.. the doctors are not sure about the Lichen part, but the fact is that I have patches all over my body, from small red, open soars, and thickened skin. Mostly my upper body, but linear scleroderma on my legs and arms. I was hospitalized for a week and took all kinds of tests. I find the whole condition like hell! Itching, burning skin, and maybe the worst, the tightening of the legs. Need compression, difficulty with stretching and some time walking. I took Metotrexat for 5 weeks, but I believe it worsened my skin. Now I’m about starting with CellCept, and a bit worried- what will that do? But desperate at the moment, so I must try. I’ve lost quite a few pounds, is that due to the Morphea? So few people know about this condition, so I’m happy and hopeful finding this support group. This definitely is a horrible disease (but thankfully it’s not fatal).

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@hildeirene Cell. Cept may be a problem for some folks but I took it for 2-3 years. Yes I did develope a serious problem (diarrhea), but was quickly changed to Myfortic which is very similar to cellcept except for the problem substance. Watching the clock to determine when to take the pills in relation to eating, was a real headache! Eventually, I started Rituximab every 6 months. I’ve only had one problem, which was major headache, and that was solved by slowing the infusion. (And insurance which didn’t want to cover it, but finally did). My autoimmune disease is CLIPPERS not morphea. Tell yourself every day that cellcept is there to help you! And you’re starting CC soon? Be sure to come back to MCC and tell me how you and cellcept
Are doing! I want to know!

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Profile picture for Becky, Volunteer Mentor @becsbuddy

@hildeirene Cell. Cept may be a problem for some folks but I took it for 2-3 years. Yes I did develope a serious problem (diarrhea), but was quickly changed to Myfortic which is very similar to cellcept except for the problem substance. Watching the clock to determine when to take the pills in relation to eating, was a real headache! Eventually, I started Rituximab every 6 months. I’ve only had one problem, which was major headache, and that was solved by slowing the infusion. (And insurance which didn’t want to cover it, but finally did). My autoimmune disease is CLIPPERS not morphea. Tell yourself every day that cellcept is there to help you! And you’re starting CC soon? Be sure to come back to MCC and tell me how you and cellcept
Are doing! I want to know!

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@becsbuddy Thanks a lot, this is helpful since I worry constantly when it comes to medicine! Starting today actually.. Best to be taken with food, I’m told..

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Profile picture for hildeirene @hildeirene

@becsbuddy Thanks a lot, this is helpful since I worry constantly when it comes to medicine! Starting today actually.. Best to be taken with food, I’m told..

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@hildeirene Just not a full meal!! I’m glad it helped you!

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