The question on whether to be seen in a specialized scleroderma center is difficult to answer and likely depends on how severe your disease is. Dr. Fred Wigley who runs the Hopkins scleroderma center is universally thought of as a great doctor by both patients and colleagues. Thus I think a trip to see him is worthwhile if only for the educational experience. D-penicillamine is not an antibiotic but has effects on collagen in the skin (scleroderma is the result of too much collagen). It still has some fans, but a large, well done, well controlled trial showed that penicillamine did not affect the progression of scleroderma.
About Alan Matsumoto, M.D.
Part-time Faculty, Division of Rheumatology
Johns Hopkins University