Scleroderma

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Skin changes
  • GIT symptoms
  • Joint stiffening
  • Respiratory symptoms

Tests

  • FBE, ESR
  • U&E +LFT
  • CK
  • Urinalysis
  • ANA/ENA

Interim/GP management

To refer a patient with this condition, please see the Scleroderma clinic page for the full referral process and templates.

Education and lifestyle advice.

Symptomatic treatments including with simple analgesia, moisturisers.

Reynaud's phenomenon can be treated with calcium channel blockers.

Upper GI symptoms may respond to antacids and proton pump inhibitors. Management of constipation may be of benefit.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Critical ischaemia

Infected digital ulceration

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Patient information can be found at:Arthritis Australia

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED
– Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100 Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment