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Understanding and Managing Scleroderma with Expert Dermatological Care

Scleroderma is a rare but complex autoimmune condition that leads to the excessive buildup of fibrous tissue, especially in the skin, but sometimes also in internal organs and blood vessels. At Devonshire Dermatology, we provide specialised care for patients living with scleroderma, offering treatments to ease symptoms, prevent complications and improve quality of life.

This condition occurs when the immune system mistakenly attacks healthy tissue, triggering an overproduction of collagen. The result is hardening and tightening of the skin and damage to small blood vessels. Although the exact cause of scleroderma is unknown, it is understood to be an autoimmune disorder and can vary greatly in severity and form from one person to another.

Common Skin Signs of Scleroderma:

  • Raynaud phenomenon, where fingers or toes turn white or blue in response to cold or stress

  • Tightness and thickening of the skin, particularly on the fingers, hands, forearms and face

  • Loss of hair in affected areas

  • Skin discolouration, which may appear darker or lighter than surrounding skin

  • Calcium deposits (calcinosis), which may form small white lumps under the skin and occasionally ooze a white, toothpaste-like substance

  • Fingertip ulcers or open sores, often caused by poor circulation

  • Mask-like facial skin, with reduced expression due to skin stiffness

  • Telangiectasias, or visible small blood vessels, often seen on the face or around the nails

The impact of scleroderma is not limited to the skin. In some cases, it can affect joints, muscles, blood vessels and internal organs. For this reason, early diagnosis and a tailored treatment plan are essential.

Personalised Care at Devonshire Dermatology

While there is currently no cure for scleroderma, many treatments are available to control symptoms, reduce flare-ups and minimise damage to the skin and other tissues. At Devonshire Dermatology, we focus on:

  • Preserving skin function and flexibility through medication and physical therapies

  • Managing Raynaud phenomenon with lifestyle guidance and vascular treatments

  • Preventing infections and treating ulcers or skin breakdown

  • Improving skin appearance with treatments for discolouration, telangiectasias or scarring

  • Coordinating care with rheumatologists and other specialists when needed for systemic involvement

Our team understands that every case of scleroderma is unique. We take time to listen to your concerns, assess your symptoms in detail, and build a plan that supports both your skin health and overall wellbeing.

Supporting You Every Step of the Way

Living with scleroderma can be physically and emotionally challenging. We are here to provide not only expert medical care but also support and education to help you manage your condition with confidence. Our goal is to maintain your skin’s health and function, prevent complications and help you feel more in control of your condition.

If you are experiencing skin tightening, Raynaud symptoms or any of the signs associated with scleroderma, book a consultation with Devonshire Dermatology. Early management can make a real difference.