Is it okay for someone with rheumatoid arthritis to use Sculptra?

Dr Irwin: I love you web site. It has answered many of my questions. Regarding Sculptra, it is suggested that a person with rheumatoid arthritis should not use Sculptra. Why not? Thank you for your help. DLW

Thank you!  The two doctors  who have done the most treatments in the world are Dr. Danny Vleggar in Switzerland and Dr. Bauer in Italy.  In their series of greater than 10,000 treatments, there was a small increased risk of granulomas (red, tender lumps) in patients who had autoimmune diseases, which includes rheumatoid arthritis.  Granulomas are different from the more common Sculptra “bumps” which are usually not visible, very small, not tender and not red.  Dr. I

Dr. Brandith Irwin, MD

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