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How is Scleroderma Diagnosed?

Scleroderma diagnosis is a difficult procedure requiring cooperation between patients, medical staff, and insurance support.

  • 02 Feb 2024
  • 2 min read

Scleroderma is a rare autoimmune disease characterised by the skin and connective tissues becoming tighter and harder. With "sclero" meaning hard and "derma" meaning skin, the term "scleroderma" has Greek origins. This illness may affect internal organs, which may lead to several complications. The difficult process of scleroderma diagnosis requires imaging studies, clinical evaluations, and laboratory work.

A prompt and accurate diagnosis is essential for early management and interventions intended to enhance the patient's quality of life.


Diagnosis of Scleroderma

A thorough medical history and physical examination are normally required for the diagnosis of scleroderma. During the examination, dermatological manifestations like skin tightening and thickening are typically visible.

However because scleroderma affects multiple systems, a thorough approach is necessary. Usually, the diagnostic procedure entails the following steps:


1. Clinical Evaluation

  • Physical Examination: Rheumatologists and dermatologists are essential in assessing the skin and spotting typical scleroderma symptoms like tightness, thickening, and colour changes.
  • Internal Organ Evaluation: Since scleroderma can also impact internal organs, evaluations of the heart, lungs, kidneys, and gastrointestinal tract are also part of the diagnostic process.

2. Laboratory Tests

  • Antibody Testing: Scleroderma is linked to specific antibodies, including anti-Scl-70 and anti-centromere antibodies (ACA). The presence of these antibodies can be determined by blood testing, which helps with the diagnostic procedure.
  • CBC (Complete Blood Count): Scleroderma may be indicated by blood abnormalities such as anaemia or elevated levels of specific immune cells.

3. Imaging Studies

  • X-rays and CT scans: These imaging techniques can reveal changes in the lungs and other affected organs, helping to assess the extent of internal involvement.
  • Echocardiography: This ultrasound of the heart provides valuable information about cardiac function, as scleroderma can lead to heart complications.

4. Skin Biopsy

  • A small sample of skin may be taken for biopsy to confirm the presence of scleroderma and rule out other skin disorders with similar symptoms.

5. Pulmonary Function Tests (PFTs)

  • Assessing lung function through PFTs helps in identifying respiratory involvement, a common complication in scleroderma patients.

Patients with scleroderma may find it expensive to navigate the diagnostic process because numerous tests and specialist consultations are required. The financial burden of getting a diagnosis and receiving treatment is significantly lessened by health insurance. Patients must understand how to advocate for themselves as well as what their insurance covers. The following are crucial things to remember:

1. Coverage for Specialized Tests

 Patients should check whether their health insurance covers the specific tests required for scleroderma diagnosis, including antibody testing, imaging studies, and pulmonary function tests.

2. Specialist Consultations

Access to specialists, such as rheumatologists and dermatologists, is vital in the diagnosis of scleroderma. Patients should ensure that their insurance plan facilitates consultations with these healthcare professionals.

3. Pre-authorization and Referrals

Some diagnostic tests may require pre-authorization from the insurance provider. Patients should be proactive in obtaining the necessary approvals and referrals to avoid unexpected expenses.

4. Coverage for Treatment

Once diagnosed, the journey continues with treatment and management. Patients should verify coverage for medications, physical therapy, and other interventions recommended for scleroderma.


Scleroderma diagnosis is a difficult procedure requiring cooperation between patients, medical staff, and insurance support. For those impacted by this difficult autoimmune disease to improve their quality of life and begin appropriate interventions, a timely and accurate diagnosis is crucial.

Understanding and making use of health insurance coverage can help patients greatly reduce the cost of specialised testing, consultations, and continuing care as they proceed through the diagnostic process.

Getting people with scleroderma the prompt and all-encompassing care they require requires advocating for comprehensive coverage and being proactive in communicating with healthcare providers.

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