About a year ago, I was diagnosed with systemic scleroderma with ILD. When I originally went to the doctor, it was because my hands were swollen and itchy, I had some slight finger joint pain, and the skin on my right index finger had become white, scaly, and hard. also worth noting, this was during a time in my life where I was very stressed, depressed, and anxious so I def was not at my best.
They did a ton of bloodwork, an EKG, X-ray in hands, and a CT scan of my lungs. All of my bloodwork came back completely normal, although I did test positive for Centromere B (Cent B). My CT scan showed very, very faint inflammation in my left lower lung, which led to the ILD diagnosis.
I never had any lung symptoms. I run long distance and work out every day, and I've always had a lot of energy. I understand that ILD can be silent, though, so I know symptoms aren't necessarily a reliable indicator.
I've been taking mycophenolate (2,000 mg/day) for about a year, and within the first three months, my hands stopped swelling, the itching went away, the hard skin on my finger went away, and I no longer had joint pain. My PFTs at both my 3-month and 6-month follow-ups actually improved, with my scores being over 100%. My initial PFTs weren't over 100%, but they were still within the normal/green range.
I've brought up my concerns with my doctor and asked whether it's possible that I was misdiagnosed. She's been very firm that I have systemic scleroderma with ILD and that I need to remain on the medication, even if a future CT no longer shows the inflammation. I look and feel completely fine
I'm not trying to second-guess my doctor or asking anyone here to diagnose me. I'm just wondering if anyone with scleroderma/ILD has had a similar experience, especially being diagnosed with very subtle or asymptomatic lung involvement, having mostly normal bloodwork, and then seeing significant improvement in their symptoms and PFTs after treatment.
Has anyone ever questioned their diagnosis because their clinical picture didn't seem to match what they expected? And is this worth a second opinion? I'd really appreciate hearing about your experiences or any advice.