Treatment

In some cases, the skin problems associated with scleroderma fade away on their own in two to five years. The type of scleroderma that affects internal organs usually worsens with time.

Medications

There is no medication that can cure or stop the overproduction of collagen that is characteristic of scleroderma. But a variety of medications can help control scleroderma symptoms and prevent complications. For example, your doctor may recommend medications to:

• Treat or slow skin changes. Steroid creams or pills may help reduce swelling and joint pain, loosen stiff skin, and slow the development of new skin changes.
• Dilate blood vessels. Blood pressure medications that dilate blood vessels may help prevent lung and kidney problems and may help treat Raynaud's disease.
• Suppress the immune system. Drugs that suppress the immune system, such as those taken after organ transplants, may help reduce scleroderma symptoms.
• Reduce digestive symptoms. Pills to reduce stomach acid can help relieve heartburn. Antibiotics and medications that help move food through the intestines may help reduce bloating, diarrhea and constipation.
• Prevent infections. Antibiotic ointment, cleaning and protection from the cold may help prevent infection of fingertip ulcers caused by Raynaud's disease. Regular influenza and pneumonia vaccinations can help protect lungs that have been damaged by scleroderma.
• Relieve pain. If over-the-counter pain relievers don't help enough, you can ask your doctor to prescribe stronger medications.

Therapies

Physical or occupational therapists can help you:

• Manage pain
• Improve your strength and mobility
• Maintain independence with daily tasks

Surgery

Used as a last resort, surgical options for scleroderma complications may include:

• Amputation. If finger sores caused by severe Raynaud's disease have progressed to the point that the fingertip tissue begins to die, amputation may be necessary.
• Lung transplants. People who have developed severe lung problems may be candidates for lung transplants.