Scleroderma
Thickening and tightening of the skin and connective tissue, sometimes affecting internal organs.
Scleroderma: what it is
Scleroderma (systemic sclerosis) is a long-term autoimmune condition that makes the skin and connective tissue thicken and tighten. In some people it also affects blood vessels and internal organs such as the gut, lungs, heart and kidneys.
The course differs a great deal from person to person, and early assessment helps to find organ problems sooner.
Scleroderma: common signs
- Fingers that turn white, then blue, then red in the cold (Raynaud's phenomenon)
- Puffy, swollen fingers, then tight, shiny skin on the fingers, hands or face
- Small ulcers on the fingertips
- Heartburn or difficulty swallowing
- Breathlessness or a dry cough
- Tight skin that makes it hard to open the mouth wide or straighten the fingers
Scleroderma: how a rheumatologist helps
Assessing which organs are involved with examination, blood tests, lung tests, an echocardiogram and other checks.
Treating Raynaud's, skin, stomach and lung problems, and protecting the kidneys by monitoring blood pressure.
Regular follow-up, because checks over time are central to care.
- A sudden severe headache or a sharp rise in blood pressure
- Passing very little urine
- New or quickly worsening breathlessness
- A fingertip that turns dark or becomes very painful
In an emergency call 1122 or go to the nearest emergency department.
Related conditions
Plan your visit
See what to bring to your first visit, then choose a clinic consultation in Rawalpindi or a video consultation.
This page is general information for awareness. It is not a diagnosis or treatment advice.