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For Managing Dry, Stiff Skin
Skin Lotions and Emollients

You may be advised to use skin lotions to keep your skin moist and supple, as well as to decrease itching.

Light Therapy

UVA-1 light therapy may be used as a treatment for localized scleroderma. It has not been useful for finger thickening and ulceration in systemic scleroderma.

For Managing Dry Eyes
Artificial Tears

Artificial tears can help lubricate dry eyes. There are many brands available.

For Managing Dry Mouth
Artificial Saliva

Artificial saliva helps relieve dry mouth. These are available without a prescription.

For Managing Decreased Mobility Due to Stiffness of Skin and Joints
Physical Therapy

Scleroderma can interfere with your ability to comfortably move around. Stiffness of your skin and joints can greatly interfere with your ability to be active. Physical therapy may help you retain or regain mobility and ease of movement.

References:

Braunwald E. Harrison’s Principles of Internal Medicine. 15th ed. New York, NY: McGraw-Hill; 2001.

Durand F, Staumont D, et al. Ultraviolet A1 phototherapy for treatment of acrosclerosis in systemic sclerosis: controlled study with half-side comparison analysis. Photodermatol Photoimmunol Photomed. 2007;23(6):215-221.

Ferri F, ed. Ferri’s Clinical Advisor 2011. Philadelphia, PA: Mosby Elsevier; 2010.

Firestein E, Kelley W. Kelley’s Textbook of Rheumatology. 8th ed. Philadelphia, PA: Saunders; 2008.

Goldman L, Ausiello D, eds. Cecil Textbook of Internal Medicine. 23rd ed. Philadelphia, PA: Saunders; 2008.

Habif TP. Clinical Dermatology. 5th ed. St. Louis, MO: Mosby; 2010.

Kreuter A, Hyun J, et al. A randomized controlled study of low-dose UVA1, medium-dose UVA1, and narrowband UVB phototherapy in the treatment of localized scleroderma. J Am Acad Dermatol. 2006;54(3):440-447.

National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/.

Noble J, Greene H. Textbook of Primary Care Medicine. St. Louis, MO: Mosby; 1996.

Rakel R. Textbook of Family Medicine. 8th ed. Philadelphia, PA: Saunders Elsevier; 2011.

Rakel R, Bope E. Conn's Current Therapy. Philadelphia, PA: Saunders Elsevier; 2011.

Scleroderma Foundation website. Available at: http://www.scleroderma.org/.

Sleisenger M, Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. St. Louis, MO: Mosby; 2011.



Last reviewed May 2014 by Michael Woods, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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