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Living with Systemic sclerosis

An autoimmune condition (systemic scleroderma) that thickens the skin and can scar internal organs.

Understanding Systemic sclerosis

Systemic sclerosis (systemic scleroderma) is an autoimmune condition that affects the skin and internal organs.

Too much collagen builds up as scar tissue (fibrosis) in the skin and other organs. It often begins with Raynaud's phenomenon, in which fingers change color in the cold. Hands may then swell before the skin becomes thick and hard. Fibrosis can also affect the esophagus, heart, lungs, and kidneys. It usually begins in adulthood.

Signs & symptoms

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

  • Fingers that change color in the cold (Raynaud's)
  • Puffy hands and thick, hard skin
  • Finger ulcers and pitted scars
  • Joint pain and swelling
  • Muscle aches and weakness
  • Heartburn and lung or kidney changes

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

    Scleroderma Research Foundation, National Scleroderma Foundation and Children's Cardiomyopathy 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: Scleroderma Research Foundation, National Scleroderma Foundation, Children's Cardiomyopathy 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 Scleroderma Research Foundation 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
Which organs should be checked regularly, and how?
How can I protect my hands and fingers?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult

The scarring is caused by the body making too much collagen. It is an autoimmune condition, and GARD doesn't describe a cause for it yet.

RespiratoryKidneySkin

Also known as: diffuse scleroderma; diffuse sclerosis; progressive systemic sclerosis; pss (progressive systemic sclerosis); scleroderma (& [systemic sclerosis]); scleroderma syndrome

Patient organizations

Source: NIH GARD · Systemic sclerosisGARD ID 9748 · 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 Systemic sclerosis.

Explore the Systemic sclerosis blog

Explore research for Systemic sclerosis

Explore actively recruiting Systemic sclerosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for 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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