Symptoms of scleroderma include:

  • Raynaud’s phenomenon :
    • Changes in skin color of the fingertips, toes, and nose in response to cold or emotional stress
    • Skin usually turns very white when first exposed to cold, then blue, then very red
    • May be accompanied by pain, tingling, numbness
  • Sores or ulcers on the fingers
  • Changes in the skin, as areas of affected skin lose hair and become:
    • Stiff
    • Hard
    • Thick
    • Shiny
    • Darker or lighter with darker spots (the so-called salt and pepper appearance)
  • Skin over face may become so tight that it’s hard to change expression (face appears “mask-like”)
  • Fingers and toes become swollen or puffy
  • Whitish bumps of calcium deposits develop under the skin (calcinosis)
  • Tiny purplish-red blood vessels appear under the skin (telangiectasias)
  • Skin creases diminish or disappear
  • Arthritis (joint aches and stiffness)
  • Muscle pain and weakness
  • Dry eyes and mouth (called Sjögren’s syndrome )
  • Digestive problems:
  • Problems due to lung, heart, and kidney involvement: