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TERMS

LET'S COME TO TERMS

Coming to terms and coping is a most difficult phase of any chronic disease, and scleroderma is no exception.

Many times patients have difficulty not understanding medical terms used when scleroderma is described. To aid those patients and others interested in scleroderma, we have compiled this glossary of some terms you may hear.

(OMD) = The On-line Medical Dictionary The Source for many terms below.

 

TERM

DESCRIPTION

ACID REFLUX the return of stomach acid and food to the mouth. Common in patients with esophageal involvement.
ACUTE severe but not long lasting.
ADULT CELIAC DISEASE A chronic nutritional disorder in which the body cannot effectively digest fats and wheat gluten. The condition, which results in a distended abdomen and loose, fatty stools, is associated with several autoimmune diseases.
AMYLOIDOSIS A disease in which excessive protein is deposited around cells in various organs and tissues of the body.
ANALGESIC a drug or other treatment prescribed for the relief of pain.
ANTIBODIES Special proteins produced by the body's immune system. They recognize and help fight infectious agents, such as bacteria and other foreign substances that invade the body. The presence of certain antibodies in the blood can help in making a diagnosis of some diseases, including some forms of scleroderma.
ANTIGEN a protein or carbohydrate substance which when introduced into the body, stimulates the production of antibodies.
ARTHRALGIA  pain in a joint.
ARTHRITIS inflammation of a joint.
ATHEROSCLEROSIS Abnormal fatty deposits in the inner layers of large or medium-sized arteries, which can lead to hardening and narrowing of the arteries and blockages of the blood supply especially to the heart.
ATROPHY the wasting away of a body part.
AUTOIMMUNE state in which the body destroys its own tissues.
AUTOIMMUNE DISEASE A disease in which the body's immune system turns against and damages the body's own tissues
BIOPSY the removal of a bit of tissue for examination under a  microscope.
BACTERIA   (OMD) Are small (linear dimensions of around 1 m), noncompartmentalized,
with circular DNA and ribosomes of 70S.
BILE   (OMD) Bile salts aid in the digestion of fats. Bile passes out of the liver via the bile duct where it is stored in the gallbladder and released in response to a fat-containing meal.
BILIARY   (OMD) Pertaining to the bile, to the bile ducts or to the gallbladder
BLOOD VESSEL a vessel in which blood circulates in the body.
CALCINOSIS The buildup of calcium deposits in the tissues. It may occur under the skin of the fingers, arms, feet, and knees, causing pain and infection if the calcium deposits pierce the surface of the skin.
CALCIUM CHANNEL BLOCKERS (MEDICINES) that lower blood pressure, relieve chest pain, and stabilize normal heart rhythms by inhibiting calcium movement into the heart muscles and smooth muscle cells. They are used to treat a variety of conditions and prevent circulatory and kidney problems in scleroderma.
CAPILLARY a small blood vessel.
CHRONIC persisting over a long period of time.
CIRCUMSCRIBED surrounded by a distinct line: term used in describing morphea.
COLLAGEN A fabric-like material of fibrous threads that is a key component of the body's connective tissues. In scleroderma, too much collagen is produced or it is produced in the wrong places, causing stiff and inflamed skin, blood vessels, and internal organs.
COLITIS An inflammatory disease of the large intestine that results in diarrhea, discharge of mucus and blood, cramping, and abdominal pain. It is characterized by swelling, inflammation, and ulceration of the mucous membrane of the intestine.
CONNECTIVE TISSUE Tissues such as skin, tendons, and cartilage that support and hold the body parts together. The chief component of connective tissue is collagen.
CONTRACTURE a permanent shortening (muscle/tendon) producing distortion or deformity.
CONSTRICT to become smaller.
CREST SYNDROME CREST is an acronym made up of the first letters of the five most prominent manifestations of this form of scleroderma: (systemic sclerosis)
   C-alcinosis
   R-aynaud's phenomenon
   E-sophageal dysfunction
   S-clerodactyly
   T-elangiectasia
DIALYSIS treatment sometimes used in treating severe kidney involvement.
DIFFUSE spreading, not confined to one area.
DILATE (OMD) to make larger.
DISTAL   (OMD) anatomy, Remote, farther from any point of reference, opposed to proximal
DUODENUM   (OMD) (anatomy) The first or proximal portion of the small intestine, extending from the pylorus to the jejunum, so called because it is about 12 fingerbreadths in length.
DYSPHAGIA difficulty swallowing.
DYSPNEA shortness of breath.
EDEMA the retention of fluid in the body.
En Coup de Saber "The cut of the sword" a term used to describe linear scleroderma when it occurs on the face of scalp. The deep scarring resembles a saber wound.
ELECTROLYTES   (OMD) Substances that dissociate into two or more ions, to some extent, in water.  
 Solutions of electrolytes thus conduct an electric current and can be decomposed   by it (electrolysis).
ENFARCTION inadequate blood supply.
EOSINOPHILIC FASCIITIS A scleroderma like disorder (often considered to be a localized form of scleroderma) featuring inflammation of fascia (the thin, sheet-like connective tissue surrounding the muscles and other body structures) and an abnormally high number of a specific kind of white blood cells (eosinophils). The results of the inflammation may be fibrous buildup in the skin of arms and legs, contractures, and carpal tunnel syndrome.
EPIDERMIS the outer layer of the skin.
ERYTHEMA redness of the skin because of blood vessel congestion.
ESOPHAGEAL DYSFUNCTION Improper functioning of the esophagus (the tube that attaches the throat to the stomach) that can lead to heartburn and swallowing problems.
ESOPHAGUS a muscular tube leading from the mouth to the stomach.
ETIOLOGY dealing with the cause of the disease.
FIBROMYALGIA   (OMD) A disorder characterized by muscle pain, stiffness and easy fatigability. The cause is unknown and an estimated 3 million are affected in the USA.
FUNDOPLICATION (OMD) Mobilization of the lower end of the esophagus and plication of the fundus of the stomach around it (fundic wrapping) in the treatment of gastroesophageal reflux may be associated with various disorders, such as hiatal hernia.
FIBROBLAST A type of cell in connective tissue that secretes proteins, including collagens.
FIBROSIS A condition marked by increased fibrous tissues that develops between the cells of various organs or tissue. It is a common feature of scleroderma and some other diseases. Fibrosis causes hardening or stiffening of tissues in the skin, joints, and internal organs.
GAMMA GLOBULIN a small amount of blood plasma containing antibodies.
GANGRENE   (OMD) Death of tissue.
GASTRIC ACIDITY (OMD) Gastric analysis for determination of free acid or total acid.
HIATAL HERNIA a condition which may occur with esophageal involvement. The stomach is allowed to protrude into the esophagus because of weakened tissue.
HYPERTENSION high blood pressure.
INCONTINENCE (OMD) The inability to control excretory functions, as defecation (fecal incontinence) or urination (urinary incontinence).
INDURATION hardness.
INFLAMMATION swelling of any part of the body accompanied by heat and redness.
IMMUNE bearing a high resistance to disease.
IMMUNOLOGY dealing with the cause of immunity.
ISCHEMIA atrophy of tissue caused by impaired circulation.
LESION an injury or change to a body part by disease.
LINEAR a form of localized scleroderma, usually a band-like thickening of skin limited to one area such as an arm or leg.
LUMEN the cavity of a blood vessel.
MALABSORPTION a condition in which the nutrients from food are not absorbed.
MORPHEA a form of localized scleroderma appearing in plagues or patches.
MOTILITY the ability to move.
OSTEOPOROSIS (OMD) A reduction in the amount of bone mass, leading to
fractures after minimal trauma.
PATHOGENESIS regarding the origin and development of a disease.
PERISTALSIS the action along the walls of the esophagus or intestine which forces the contents on.
PROLIFERATION rapid growth of new parts or cells.
PROXIMAL (OMD) Nearest to, closer to any point of reference, opposed to distal.
PULMONARY pertaining to the lungs.
PYROSIS heartburn.
RAYNAUD's PHENOMENON a disturbance of the circulation within small blood vessels thereby
affecting the extremities, primarily the hands and feet.
REGURGITATION (OMD) A backward flowing, as the casting up of undigested food
REFLUX a flowing back.
REMISSION a temporary freedom from disease symptoms.
RENAL pertaining to the kidneys.
SALIVA (OMD) The secretion from the salivary glands.
SCLERODACTYLY a condition in which the skin of the fingers become hard.
SCLEROSIS pathological hardening of tissue.
SERUM the clear liquid portion of the blood.
SPHINCTER a valve-like muscle found in the esophagus and other organs.
STASIS slowing or stoppage.
STRICTURE a narrowing.
SYMPATHECTOMY  (OMD) Excision of a sympathetic nerve. Occasionally used for the treatment of reflex sympathetic dystrophy.
TELANGIECTASIA the appearance of small blood vessels near the surface of the skin.
TOXIC poison.
TRAUMA a wound.
ULCERATION open, festering sores.
VASCULAR pertaining to blood vessels.
VISCERAL internal organ.
NIFEDIPINE  (OMD) A calcium channel blocker (346 D) used experimentally and as a coronary vasodilator.
NSAID's  (OMD) (DRUGS) nonsteroidal anti-inflammatory
TRANSPARENT TRANSPARENT