What is Scleroderma?
This page was written by Shelley Ensz, and has not yet been medically edited. See Disclaimer.
What is Scleroderma?
Books About Scleroderma
Brochures About Scleroderma
Types of Scleroderma
Difficult Diagnosis
Causes of Scleroderma
Not Contagious or Cancerous
Systemic Symptoms
Treatments and Clinical Trials
About Scleroderma
Patient Stories
References
What is Scleroderma?
audioScleroderma is a rare, chronic autoimmune disease which afflicts an estimated 300,000 Americans, primarily females who are 30 to 50 years old at onset. The overall occurrence is 1 per 1,000 (.001% of the 310 million U.S. population) and the ratio of women to men is about four to one.
Scleroderma is both a rheumatic disease and a connective tissue disease. The term rheumatic disease refers to a group of conditions characterized by inflammation and/or pain in the muscles, joints, or fibrous tissue. A connective tissue disease is one that affects tissues such as skin, tendons, and cartilage. NIAMS.
Types of Scleroderma
Types of Scleroderma. There are two main types of scleroderma: Localized and Systemic.
The systemic forms can affect any part of the body (skin, blood vessels, and internal organs.) The systemic forms are also referred to as "systemic sclerosis" plus other terms such as diffuse, limited, CREST, and overlap.
The localized forms are morphea and linear. They affect only the skin (and sometimes the underlying tissues) but do not affect the internal organs, or reduce one's life expectancy in any way. When any form of scleroderma (either localized or systemic) occurs in children, it is also called Childhood Scleroderma or Juvenile Scleroderma.
Overview
Two Main Types: Localized and Systemic
Determining the Type
Juvenile Scleroderma
Localized (Morphea, Linear, En Coup)
Nodular Scleroderma
Systemic Sclerosis (Limited/CREST, Diffuse, Overlap)
Brochures About Scleroderma
Brochures About Scleroderma. Free brochures in PDF format, to print yourself. Or, order printed copies. Includes valuable systemic scleroderma symptom checklist! ISN.
Brochures in English
Brochures in Japanese
Brochures in Spanish (Español)
Order Brochures from ISN
Books About Scleroderma

Voices of Scleroderma Volume 3 We strongly recommend the ISN's Voices of Scleroderma book series for top quality medical and support information. Each volume includes articles by world scleroderma experts along with 100 patients, caregiver and survivor stories for all types of scleroderma, who share how they are coping with all types of scleroderma symptoms. Centerpiece medical articles are by the late Dr. Joe Korn, Prof. Carol Black, and Dr. Marco Matucci-Cerinic. (Also see: Voices of Scleroderma Book Series and Order ISN Books )

Diagnosis of Scleroderma
Systemic Scleroderma Symptom Checklist in our free PDF from the ISN's "What is Scleroderma?" brochures.
Difficult Diagnosis
Difficult Diagnosis. Proper diagnosis of scleroderma is often long and difficult. Often the diagnostic uncertainty and frustration takes a huge psychological toll on these patients, who describe their journey to diagnosis as being by far the most difficult part of their illness. ISN.
Rare Disease
Resembles Other Disorders
Vague Initial Symptoms
Prodromal Illness
Reluctance to Diagnose
Don't Meet Criteria
Huge Toll On Patient
Scleroderma Experts
Skin or Renal (Kidney) Biopsies
Don't Ask, Don't Tell
Give Permission to Diagnose
They Feed All Dogs Dog Food
Finding Support
What to Tell People
Getting Un- and Re- Diagnosed
Patient Stories of Difficult Diagnosis
Causes of Scleroderma
Causes of Scleroderma. The cause of scleroderma is unknown. Some cases of scleroderma have been linked to chemical exposures. Genetics, fetal cells, gluten sensitivity, and viruses might also be factors in the development of scleroderma, and it may be due to a combination of factors. ISN.
What Causes Scleroderma?
Advanced Glycation Endproducts
Autoimmunity
Autophagy
B Cells and T Cells
Cluster Studies (Main Page)
Cluster in South Boston
Cytokines
Dendritic Cells
Drugs and Medications
Endothelin
Environmental (Main Page)
Artificial Joints & Breast Implants
Drugs and Medications
Infections
Mercury (Dental Amalgam)
Radiation
Silica Exposure
Solvents
Vinyl Chloride
Fetal Cells
Fibroblasts
Genetics
Gluten Sensitivity
Homocysteine, MTHFR C677T Gene
Hormones and Chromosomes
Interleukins
Molecular Defect
Natural Killer Cells
Neuropeptides and Substance P
Oxidative Stress, Lipid Peroxidation
Platelet Aggregation
Proteins

Serum TIMP-2
Sleep Disorders
Stress
Tissue Kallikrein
Thyroid
Vascular
Vitamin D Deficiency
Related Books
Scleroderma is Not Contagious or Cancerous
Scleroderma is not classified as contagious, which means that you cannot get scleroderma by shaking hands, hugging, kissing, sexual contact, contact with blood or bodily fluids, sharing eating utensils, or by airborne contact from coughing or sneezing. And it is not cancerous.
Systemic Scleroderma Symptoms
Systemic Scleroderma Symptoms. Systemic sclerosis (scleroderma) can affect every part of the body, including the skin, blood vessels, and all of the internal organs. There are also dozens of associated conditions and related autoimmune diseases. ISN.
Associated Conditions
Brain
Dental/Mouth
Eyes
Fatigue
Gastrointestinal
Heart (Cardiac)
Kidney (Renal)
Liver
Lung (Pulmonary)
Photos of Symptoms
Pregnancy
Raynaud's
Similar Skin Diseases
Sjogren's Syndrome
Skeletal (Bones, Joints Muscles)
Skin and Hair
Scleroderma Clinical Trials and Treatments
Scleroderma Treatments and Clinical Trials. At present, there are no proven treatments or cure for any forms of scleroderma. However, there are effective therapies for many of the symptoms. Most of the symptoms listed in this website are those of systemic scleroderma. ISN.
Clinical Trials Overview (Main Page)
Symptoms and Treatments
Scleroderma Experts
Scleroderma Care & Research Journal
Scleroderma Research Registries
Current Trials, Open Enrollment
Completed: Positive Results
Completed: Awaiting Results
Completed: Inconclusive Results
Completed: Negative Results
Information about Scleroderma
Scleroderma: A Rare but Devastating Disease. The skin thickens and tightens, becoming deformed and unyielding. Then, the skin around the body's joints allows for less and less bending. Hands, elbows and knees all become stiff. "Scleroderma is not less frequent than multiple sclerosis, but MS gets 10 times more funding." HealthDay. 07/27/07.
Rheumatic Diseases: The Unnoticed Elephant in the Room. The group of conditions known as rheumatic diseases, or musculoskeletal (MSK) disorders, is indeed an elephant, given the magnitude of their impact on the population. Ediitorial. J of Rheumatology. January 2008.
Scleroderma (Systemic Sclerosis). American College of Rheumatology.
Overview of Scleroderma MayoClinic.
Living With Scleroderma. Understanding Your Disease. This Scleroderma Educational Program was developed by Dr. Jennifer Haythornthwaite with help from Dr. Wigley of the Johns Hopkins Scleroderma Center to help patients learn about Scleroderma and understand more about the physiological and psychological effects of the disease. John Hopkins Medicine, Scleroderma Center.
History of Scleroderma. Great resource for school reports, includes information about Paul Klee, the abstract painter who is perhaps the most famous person to have had scleroderma. ISN.
Scleroderma Webcast #1 with Dr. Art Theodore, BUMC
Patient Power with Dr. Art TheodoreScleroderma Webcast #1 Replay and Scleroderma Webcast Transcript (PDF). Dr. Art Theodore is a nationally recognized expert with special interests in systemic sclerosis and interstitial lung disease from Boston University Medical Campus. 10-30-07. PatientPower.
Scleroderma Webcast #2 with Dr. Art Theodore, BUMC
Scleroderma Webcast #2 Replay. Dr. Art Theodore is a nationally recognized expert with special interests in systemic sclerosis and interstitial lung disease from Boston University Medical Campus. 04-25-08. PatientPower. (Also see: Pulmonary Involvement )
Voices of Scleroderma Volume 1 Book offers medical information about scleroderma by leading experts. Includes scleroderma symptom checklist, plus 100 personal stories of people living with scleroderma and related illnesses. ISN.
What is Scleroderma? "Imagine for me if you would that in certain areas of your body the skin has begun to thicken and harden. Then on top of this, you have a painful sensitivity to cold, frequent heartburn, stiff joints and various other internal problems." Amy (Daughter of a Systemic Sclerosis patient).
What is Scleroderma? Arthritis Foundation (U.S.).
What is Scleroderma? MedicineNet.
What is Scleroderma? "Scleroderma can be difficult to diagnose. There may be slowly evolving skin changes or malfunction of an organ. First symptoms may include..." Scleroderma Society of Canada.
Scleroderma Patient Stories
Scleroderma Patient and Caregiver Stories. We feature the world's largest collection of scleroderma patient and caregiver stories, in many languages. The stories from this site also formed the basis for the ISN's Voices of Scleroderma book series. ISN.
References
(1) audioAudio pronunciations for this page are from Mirriam-Webster Online Dictionary.
Keep on Surfing!
Go to Difficult Diagnosis
Contact ISN. We are a full-service nonprofit agency.
Email: isn@sclero.org or
or post a message in our Sclero Forums !
Shop, Join or Donate Now
(Also see: Contact ISN )
International Scleroderma Network (ISN)
7455 France Ave So #266
Edina, MN 55435-4702
USA
Toll Free Hotline in U.S. 1-800-564-7099
Direct Line 952-831-3091 (U.S.)
(We are also known as the Scleroderma from A to Z web site.)
© Copyright 1998-2008 International Scleroderma Network
All Rights Reserved