Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.
I recently had a bone scan as I have had about 2 course of steroids a year over the last 5 years. My bones were found to be thinning. Not osteoporosis, but osteopenia. Thats how come I managed to break my shoulder so easily falling down the stairs (note to self next time you fall don't try and save yourself and end up tangled in the bannisters). I'm also naturally thin and a veggie. I've been told to avoid the steroids now. I'm glad because as well as the bones I also have terrible gastritis periodically. But they used to work fantastically, not so much now though. I also had to have extra monitoring in pregnancy as I had just finished a course of steroids when i got pregnant (thats how good they are!!) and they can cause low birthweight in babies. I had a 5lb 10 oz baby (my others were all 8lb), but I also had problems with the placenta caused by the steroids.