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Living with Limited cutaneous systemic sclerosis

A form of systemic sclerosis with skin thickening on the hands, face, feet, and forearms, and Raynaud's phenomenon.

Understanding Limited cutaneous systemic sclerosis

Limited cutaneous systemic sclerosis is a subtype of systemic sclerosis marked by Raynaud's phenomenon and skin fibrosis (hardening) on the hands, face, feet, and forearms.

It usually begins in adulthood. It likely starts with an autoimmune reaction that leads to too much collagen. In some cases it is linked to exposure to certain chemicals.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Raynaud's phenomenon
  • Skin thickening on hands, face, feet, and forearms
  • Skin ulcers (open sores)
  • Acid reflux
  • Nausea and vomiting
  • Small visible blood vessels on the mouth lining (telangiectasia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists, heart and blood vessel specialists, kidney specialists and lung and breathing specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association, Scleroderma Research Foundation and National Scleroderma Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Heart and blood vessel specialists (cardiologists); Kidney specialists (nephrologists); Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: Autoimmune Association, Scleroderma Research Foundation, National Scleroderma Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can I protect my fingers and toes from Raynaud's attacks?
How often should my lungs and other organs be checked?
Which rheumatology specialists should follow my care?

Quick facts

Symptoms usually startAdult

The exact cause is unknown. It likely starts with an autoimmune reaction that leads to too much collagen, and sometimes it is linked to certain chemicals.

RespiratoryKidneySkin

Also known as: limited cutaneous systemic scleroderma; limited scleroderma; limited systemic sclerosis; systemic sclerosis, limited

Patient organizations

Source: NIH GARD · Limited cutaneous systemic sclerosisGARD ID 1053 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Limited cutaneous systemic sclerosis.

Explore the Limited cutaneous systemic sclerosis blog

Explore research for Limited cutaneous systemic sclerosis

Explore actively recruiting Limited cutaneous systemic sclerosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Limited cutaneous systemic sclerosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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