The diagnosis of MCTD is a tricky issue. It can only be made by experienced rheumatologists specially trained in connective tissue diseases. There are 3 different international criteria with some confusion over which one is the most sensitive and which one is most specific for this syndrome. This necessary to mention this fact because the diagnosis must be very accurate before management of the condition can be planned. One of the crucial part of making a definite diagnosis is to get anti-U1-RNP antibody test done. The diagnosis can be made only in the presence of high
titres of this anti body. I hope these facts have been taken in account while labelling your disease as MCTD.
Once the issue of diagnosis is settled, the next point would be to carefully assess the exact extent and the degree of target organ involvement. This is mandatory because treatment depends upon this fact.
One of the important issues is the presence or absence of pulmonary hypertension. This is extremely important as this decides the prognosis of the disease. Basically, the treatment is symptomatic and depends upon the target organ involvement, as mentioned above.
As you would appreciate, details of treatment cannot be given in this e-mail message as it is quite complicated.
Regarding your third point related to ‘Ayurvedic treatment’, not having any knowledge of this field, I would not be able to given you any opinion on Ayurvedic treatment.
In Mumbai the rheumatologists are as follows:
Dr. Balakrishnan in Hinduja Hospital
Dr. Sanjiv Amin in Bombay Hospital
Dr. P. K. Pispati in Jaslok Hospital