Closeup of a male doctor's hand holding the green ribbon that symbolizes scleroderma awareness month.
Scleroderma, characterized by the hardening and tightening of the skin and connective tissues, can be more than just a cosmetic concern. With the potential to impact your everyday life, it’s essential to seek expert care. Schedule an appointment with Valley View today, and we’ll guide you toward improved skin and well-being.

About the condition

 What is Scleroderma?

Scleroderma can manifest in various ways, predominantly on the skin. Some common presentations include:

  • Thickened, tight skin
  • Shiny areas around the mouth, nose, fingers, and other bony areas
  • Small white lumps beneath the skin, sometimes oozing white substance (calcium)
  • Red spots on the face and hands (telangiectasias)
  • Sores (ulcers) on fingertips or toes
  • Raynaud’s phenomenon: fingers or toes turning blue, white, or red in response to cold or emotional distress

There are two major categories of scleroderma:

  • Localized Scleroderma: Mainly affects the skin, causing patches of hard, tight skin. These patches may be shaped like ovals or straight lines, or might cover large areas of the trunk and limbs.
  • Systemic Scleroderma (Systemic Sclerosis): Affects not only the skin but also blood vessels and internal organs. This type is further categorized into limited or diffuse based on the extent and location of skin involvement.

What causes Scleroderma?

While the exact cause is still unknown, scleroderma is believed to be an autoimmune disorder. The body’s immune system mistakenly attacks its tissues, causing inflammation and overproduction of collagen, leading to skin hardening and thickening. Genetics and environmental factors might also play a role.

When should I see a dermatologist about Scleroderma?

Please seek dermatological care If you notice:

  • Persistent skin hardening or tightening
  • Painful or numb extremities, especially in response to cold
  • Discoloration of fingers or toes
  • Unexplained ulcers or sores on fingers or toes


Diagnosis and treatment options for scleroderma

At Valley View Dermatology, diagnosing scleroderma involves a detailed patient history, physical examination, and potentially skin biopsies. Our goal is to understand the depth and type of your condition. Based on our findings, we provide a personalized treatment plan designed for symptom management and enhancing your quality of life.
Our treatments for scleroderma include:

Immunosuppressive Medications

These drugs help reduce the body’s immune response, slowing down the overproduction of collagen. Medications like methotrexate, cyclophosphamide, and mycophenolate mofetil are commonly prescribed.

Topical Treatments

For localized symptoms, creams and lotions containing corticosteroids or calcineurin inhibitors can be applied to alleviate skin tightness and inflammation.


These medications help widen blood vessels and increase blood flow, especially beneficial for those experiencing Raynaud’s phenomenon. Common choices include nifedipine and losartan.


Don’t let scleroderma hold you back. With Valley View Dermatology, you’re in trusted hands.

Call 971-374-2150