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Living with Systemic sclerosis sine scleroderma

A type of scleroderma with Raynaud's and scarring in internal organs, but not the skin.

Understanding Systemic sclerosis sine scleroderma

Systemic sclerosis sine scleroderma (limited systemic sclerosis) is a type of scleroderma that scars internal organs but not the skin.

People have Raynaud's phenomenon and a buildup of scar tissue (fibrosis) in one or more internal organs, such as the esophagus, heart, lungs, or kidneys. Organ involvement may show up as heartburn, trouble swallowing, high blood pressure, kidney problems, shortness of breath, or diarrhea. It usually begins in adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Fingers that change color in the cold (Raynaud's)
  • Heartburn
  • Trouble swallowing
  • High blood pressure or kidney problems
  • Shortness of breath
  • Diarrhea or slowed gut movement

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?
How can I protect my fingers from the cold?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult

GARD says the exact cause is unknown.

RespiratoryKidneySkin

Also known as: limited systemic sclerosis; ssc without skin involvement; systemic sclerosis without skin involvement; systemic sclerosis without skin thickening

Patient organizations

Source: NIH GARD · Systemic sclerosis sine sclerodermaGARD ID 9749 · 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 sine scleroderma.

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