Understanding Scleroderma

A Comprehensive Guide to Symptoms, Diagnosis, and Treatment

Dermatology

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Last updated: Mar 24, 2025

What is Scleroderma?

Scleroderma is a rare autoimmune condition that causes hardening and tightening of the skin and connective tissues. The term "scleroderma" comes from the Greek words "sclero" (hard) and "derma" (skin).

Types of Scleroderma

Localized Scleroderma

  • Morphea: Patches of hardened skin
  • Linear scleroderma: Streaks of hardened skin

Systemic Scleroderma

  • Limited cutaneous scleroderma (CREST syndrome)
  • Diffuse cutaneous scleroderma

Common Symptoms

  • Skin changes:
    • Hardening and tightening
    • Loss of elasticity
    • Shiny appearance
  • Raynaud's phenomenon
  • Joint pain and stiffness
  • Digestive problems
  • Breathing difficulties

Diagnosis

Common Tests Include:

  • Blood tests
  • Skin biopsy
  • Chest X-ray
  • Pulmonary function tests
  • Echocardiogram

Treatment Options

Medications

  • Immunosuppressants
  • Blood pressure medications
  • Pain relievers
  • Acid reflux medications

Therapies

  • Physical therapy
  • Occupational therapy
  • Light therapy for skin symptoms

Living with Scleroderma

  • Skin Care:
    • Regular moisturizing
    • Protection from cold
    • Sun protection
  • Exercise
  • Stress management
  • Regular medical check-ups

When to Seek Medical Care

  • New or worsening symptoms
  • Signs of infection
  • Severe Raynaud's attacks
  • Difficulty breathing

Support Resources

  • Support groups
  • Patient organizations
  • Mental health services
  • Occupational therapy resources

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