Scleroderma

Also called Systemic sclerosis or Morphoea

Scleroderma is a rare condition where the immune system causes the body to make too much collagen, leading to hard, thickened patches of skin. Localised scleroderma (morphoea) only affects the skin. Systemic sclerosis can also affect internal organs such as the gut, lungs, heart and kidneys. Most people also have Raynaud's.

Last updated Nov 9, 2026

What it is

There is no cure, but treatment can help control symptoms and protect organs.

Treatment may include medicines to calm the immune system, treatment for Raynaud's, acid reflux and blood pressure, physiotherapy and regular checks of the lungs, heart and kidneys.

Common signs

  • Hard, tight or thickened skin
  • Fingers and toes changing colour in the cold
  • Swollen fingers
  • Heartburn or difficulty swallowing
  • Shortness of breath
  • Small red spots on the skin

How it is usually diagnosed

  • Examination by a specialist
  • Blood tests for antibodies
  • Lung, heart and kidney tests
  • Sometimes a skin biopsy

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Rheumatology letters
  • Antibody blood test results
  • Lung function and echocardiogram reports
  • Blood pressure and kidney test results

Questions to ask your doctor

  • Is the scleroderma localised or systemic?
  • Which organ checks do I need and how often?
  • How can I protect my fingers in the cold?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A sudden severe headache, blurred vision, or very high blood pressure: call 112
  • Ulcers or blackened skin on the fingers: get urgent help the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources