Scleroderma is a rare autoimmune disease characterized by hardening and tightening of the skin and connective tissues. It may also affect internal organs, including the lungs, kidneys, and gastrointestinal system.
Rheumatology clinic
Symptoms
- Thickened, tight, or shiny skin (especially on hands and face)
- Raynaud’s phenomenon (fingers turning white/blue in cold)
- Joint stiffness
- Heartburn or difficulty swallowing
- Shortness of breath
Causes & Risk Factors
- Autoimmune dysfunction
- Genetic predisposition
- Environmental exposures (e.g., silica dust)
- Female gender
Diagnosis
- ANA and anti-Scl-70 antibodies
- Physical skin assessment
- Nailfold capillaroscopy
- Pulmonary function testing
Treatment Options
- Immunosuppressive medications
- Vasodilators for Raynaud’s
- Physical therapy and skin care
- GI medications for reflux
Living with
Scleroderma
- Joint pain and swelling (often in fingers and toes)
- Morning stiffness
- Nail pitting or separation
- Lower back or heel pain
- Red, scaly skin patches (psoriasis)
When to See a Rheumatologist
If you notice changes in skin texture, circulation issues in the hands, or systemic symptoms, early referral is important.