Hello Dr. my wife age 41 year was diagnosed with scleroderma on the firearms. Punch biopsy sample was sent to Dr. uday khopkar in sept 2015. What treatment should we take to avoid further complications. Presently she has some problem in her finger which get swollen and red when get in touch with moisture or cold water.

Dr. Arghya ChattopadhyayRheumatologist9yrs exp

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Dear Mr. lybrate-user Scleroderma is a systemic disease so do not be in a misconception of Scleroderma of forearm. According to your description it seems to be a limited scleroderma. Presence of Pulmonary hypertension and ILD (Interstitial Lung Disease) muat be evaluated. Discolouration and gangreen of digits are the most common cause for which pt initially seek attention but that is the tip of the iceberg only. Avoidence of cold is utmost important and some vasodilatory medication will require specially during winter. Please consult your local Rheumatologist for furtjer giudance.  

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