A Challenging Case of Scleroderma: Diagnosis, Treatment, and Management

Abstract

Scleroderma is a relatively rare autoimmune disorder that causes progressive hardening, tightening, and scarring of the skin, as well as internal organ involvement. This case study presents a 56-year-old African American female with diffuse cutaneous scleroderma who has had recurrent complications since 2017, including earaches and fingertip infections. The patient’s medical history, clinical course, diagnosis, and treatment options, including NSAIDs, low-dose corticosteroids, and methotrexate, are discussed. Osteopathic manipulative medicine is explored as a potential symptomatic treatment for scleroderma. Early diagnosis and chronic management for scleroderma patients are emphasized to avoid severe complications such as pulmonary hypertension, which can lead to cor pulmonale and right-sided heart failure. Further research is needed on prophylactic treatments for scleroderma complications and the potential link between multiple autoimmune disorders and increased susceptibility to scleroderma. This case study provides medical professionals with a better understanding of scleroderma and the available treatment options to improve patient quality of life.