Limited cutaneous systemic sclerosis

Patients should be encouraged to stop smoking as this can worsen digital ulcers and Raynaud's phenomenon (RP). Moisturisers and lubricants applied to the hands can be beneficial in enhancing vitality of the skin of the digits. Persistently dry, itchy skin may respond to mild antihistamines, oatmeal baths, or topical medicated treatments. Regular daily range-of-motion exercises of the hands and wrists may prevent irreversible flexion contractures. Hand therapy can be facilitated by warming the hands prior to therapy. Avoiding the cold, wearing warm mittens and a hat, and using hand or foot warmers can help prevent attacks of RP. Resources and support groups for scleroderma may also be of assistance. Arthritis Foundation Opens in new window International Scleroderma Network (ISN) Opens in new window EUSTAR (EULAR Scleroderma Trials and Research) Opens in new window