From Library Journal
Scleroderma is a rare, incurable autoimmune disease that strikes between 4000 and 8000 people annually, though estimates are sketchy owing to variable presentation. Few books on the disease have been published. A rheumatologist and professor of internal medicine, Mayes has been treating scleroderma patients for over 20 years. She gives a thorough overview of the processes that lead to such complications as Raynaud's phenomenon, esophageal reflux, hypertension, and skin changes in both the localized and systemic forms of the disease. Chapters on the main organ systems that can be involved (respiratory, cardiac, gastrointestinal, and renal) cover diagnosis and specialists. Also included are chapters on sexuality, pregnancy, and coping. Mayes emphasizes the variable nature of the disease, which requires an individualized approach to treatment. The tone of the book is empathetic and nonalarmist. Suprisingly, no comment is made on the media-hyped "cure" minocycline. Appendixes include criteria for diagnosis, support groups, resources, and a glossary of terms. Recommended for public libraries and hospital consumer health collections. (Index not seen.)ALisa McCormick, Jewish Hosp., Cincinnati
Copyright 1999 Reed Business Information, Inc.
Mayes has been treating scleroderma patients for almost 20 years and combines her clinical experience and medical knowledge in an informative, accessible book. Neither the cause nor the cure of the autoimmune connective tissue disease is known. She describes the two main types of scleroderma; discusses who is likely to get the malady, which affects the whole body, as well as sexuality and pregnancy; and zeroes in on such organs as the kidneys, GI tract, lungs, heart, joints, tendons, muscles, and nerves. Frequently scleroderma and Sjogren's syndrome go together. Good symptomatic treatments are available, but they need the context of a first-rate doctor-patient relationship to be really effective. Mayes gives practical suggestions for coping with the rarely fatal, though discomforting and frustrating, disease, and she debunks three harmful myths often thrown at scleroderma patients by others or themselves. Appendixes list sources of additional information and include a well-chosen glossary.
William Beatty