Mesenteric Panniculitis or Sclerosing Mesenteritis

Posted by BillyMac65 @billymac65, Dec 6, 2012

I thought I would start a discussion for patients with Mesenteric Panniculitis. From what I know, this auto-immune disorder has three stages to it, each with differing names (Mesenteric Panniculitis, Schlerosing Mesenteritis, Retractile Mesenteritis). Typically, this appears to be in older individuals with some other under-lying problem (Lymphoma, tumor, diverticulitis).

I have an atypical presentation because I do not have an underlying cause. The doctors seem to be hoping for Lymphoma to appear so they can treat it and have the auto-immune go away. I am interested in hearing from others with this. I had this diagnosed in 2011, so I am interested in hearing more about what this is like to live with. I want to hear from others who also have an atypical presentation. Did is come back? Also interested in hearing from those with Lymphoma. How was the treatment? Did it address the auto-immune?

Pretty much, I am interested in hearing from anyone who has had this, so i can better understand it, and not feel so alone with this!!

Bill

Interested in more discussions like this? Go to the Digestive Health Support Group.

@dmaquino

Update on visit at The Mayo Clinic in Rochester...,, we are finally home after 2 weeks! That trip was hard on me but so worth it! We have a concrete diagnosis of Sclerosing Mesenteritis..... I had an MRE, liver ultrasound, blood work and yet another colonoscopy. The docs were wonderful and everyone was very knowledgeable. My GI doc was excellent in communicating with me wether on phone, in person or on the portal! I will continue 40mg of Prednisone and 50mg of 6mp and will have blood work to check elevated liver enzymes as my liver is not tolerating it well..... Mayo will be working with my hometown GI as I am her first case to help her learn how to treat me ..... I hope this helps anyone who is thinking of going to Mayo!!!!❤️

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I am glad that you were able to find the help you needed! I am also happy to hear that the Mayo Clinic will be sharing their expertise with your GI. This is very important. I am the only patient with MP for my GI and GP and together, we have been trying to get my body back in remission. I have been able to learn a lot from this forum regarding possible medications. The only one that I don't recognise is 6mp. Is this an immuno suppressant medication?

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@dmaquino

Yes I will! I have a question, has anyone filed for social security disability eithbis diagnosis in the group

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I am on a long term disability at the moment. I have not been able to attain remission since August 2017 and am too symptomatic to consider a return to work at this point. The insurance people don't seem to understand this disease. One person actually told me that it's so unusual for me to have MP for so long! I have spent a few hours trying to describe this disease and even referred them to this site!

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@kimh

I am glad that you were able to find the help you needed! I am also happy to hear that the Mayo Clinic will be sharing their expertise with your GI. This is very important. I am the only patient with MP for my GI and GP and together, we have been trying to get my body back in remission. I have been able to learn a lot from this forum regarding possible medications. The only one that I don't recognise is 6mp. Is this an immuno suppressant medication?

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Hello @kimh

You had a question about 6MP. This is a med that was originally developed as a chemo treatment for cancer but has been found to help a lot of people with other colon related disorders. Here is some information about it on the Crohn's and Colitis Foundation website, http://www.crohnscolitisfoundation.org/resources/maintenance-therapy.html. Here is a quote about this med:

"6-mercaptopurine (6-MP, Purinethol®) and azathioprine (Imuran®) have been increasingly utilized to take IBD patients off steroids, and to keep them off. They are also beneficial in the treatment of some patients with Crohn's disease who have fistulas. Both of these drugs are effective in treating active IBD and in maintaining remission, and are relatively safe. However, patients taking these drugs must be carefully monitored for signs of a decrease in the number of blood cells, or inflammation of the liver or pancreas. Although it was initially feared that patients given these medications could be at increased risk for infections or certain types of cancers, this has not been conclusively demonstrated.

Although these drugs can be expensive, the required daily dose is low. Patients needing these medications to achieve remission will often suffer a relapse of disease when the medications are stopped; thus, many physicians recommend long-term use as maintenance therapy—in some cases even during pregnancy."

Another member of this discussion group, @guener, has also mentioned using it.

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Thanks for the information! I am currently on azathioprine and I seem to be tolerating it so far. I'm also on tamoxifen and weaning down on Prednisone. I'm hoping that this will be the successful cocktail! I have been on Prednisone since August 2017. I had another ct scan about a week and a half ago. My scan shows that everything is the same as my previous scan in 2017, which is good news that things haven't progressed, but that nothing has 'regressed'. Is it possible for the inflammations to reduce in size? I would love to get off of the steroids. I have just been diagnosed with severe osteoporosis and I have a feeling that prolonged prednisone use may have been a contributor.

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@kimh

Thanks for the information! I am currently on azathioprine and I seem to be tolerating it so far. I'm also on tamoxifen and weaning down on Prednisone. I'm hoping that this will be the successful cocktail! I have been on Prednisone since August 2017. I had another ct scan about a week and a half ago. My scan shows that everything is the same as my previous scan in 2017, which is good news that things haven't progressed, but that nothing has 'regressed'. Is it possible for the inflammations to reduce in size? I would love to get off of the steroids. I have just been diagnosed with severe osteoporosis and I have a feeling that prolonged prednisone use may have been a contributor.

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Have you considered a second opinion at a Mayo facility, @kimh? They really do have experts there.

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@hopeful33250

Have you considered a second opinion at a Mayo facility, @kimh? They really do have experts there.

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@hopeful33250 Hi I just wanted to let you know Teresa with my chair exercises I started to do some Tai Chai at the end of exercises to calm and cool down. Thanks again

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@hopeful33250

Have you considered a second opinion at a Mayo facility, @kimh? They really do have experts there.

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I have strongly considered coming to Mayo. My doctors are concerned about the cost for me as I am from Canada. I'm not sure that the Mayo Clinic can offer me anything different as far as treatment goes to be honest.

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@hopeful33250

@hopeful33250 o.k.here it goes See what you think. Why Connect. We have a variety of pain,back,stomach ,nerve but we fight to keep us sane ,also those ugly beasties ,anxiety,panic,depression, being overwhelmed,those beasties,push them down into the ground .
It's through Connect that we do CONNECT. We all care for each other ,share with each other and it starts by opening up
And emptying our cup.
So be grateful everyday for your blessings everyday ,if you just want to talk
that's o.k.

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@lioness

@hopeful33250 o.k.here it goes See what you think. Why Connect. We have a variety of pain,back,stomach ,nerve but we fight to keep us sane ,also those ugly beasties ,anxiety,panic,depression, being overwhelmed,those beasties,push them down into the ground .
It's through Connect that we do CONNECT. We all care for each other ,share with each other and it starts by opening up
And emptying our cup.
So be grateful everyday for your blessings everyday ,if you just want to talk
that's o.k.

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I like it, @lioness!

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