Scleroderma history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

• The hallmark of scleroderma is sclerodactyly. A positive history of progressive skin tightening and hardening is suggestive of scleroderma. The most common symptoms of scleroderma include skin tightening or induration, raynaud's phenomenon and symptoms of Gastroesophageal reflux disease (GERD). Less common symptoms of scleroderma include shiny skin appearance and restricted movement of affected areas of the skin.

History and Symptoms

• The hallmark of scleroderma is sclerodactyly. A positive history of progressive skin tightening and hardening is suggestive of scleroderma. The most common symptoms of scleroderma include skin tightening or induration, raynaud's phenomenon and symptoms of Gastroesophageal reflux disease (GERD).

History

Patients with scleroderma may have a positive history of:

• Progressive skin tightening or hardening
• Skin induration affecting fingers and extending proximally (sclerodactyly)
• Exaggerated response to cold temperatures or emotional stress causing numbness, pain or color changes in fingers or toes (Raynaud's Phenomenon)
• Fatigue
• Weight loss
• Musculoskeletal pain

Common Symptoms

Common symptoms of scleroderma include:

• Skin tightening and induration (hardening)
• Exaggerated response to cold temperatures or emotional stress causing numbness, pain or color changes in fingers or toes (Raynaud's Phenomenon)
• Symptoms of gastroesophageal reflux disease (GERD)

Less Common Symptoms

Less common symptoms of scleroderma include:

• Shiny skin appearance
• Restricted movement of affected area of skin