When you have scleroderma, the thing you’re most likely to notice first is that the skin on your fingers, arms, legs, hands, feet, or face tightens, gets harder, or gets thicker. Help is available, though. Your doctor has treatments to manage scleroderma symptoms, which can also include:
Swelling, stiffness, or pain in the fingers, toes, hands, feet, or face
Fingers and toes that react strongly to cold -- they may look white and hurt. This is called Raynaud's phenomenon.
Red spots on the fingers, palms, face, lips, or tongue. These are called telangiectasias. They happen when tiny blood vessels are widened.
Ulcers or sores on fingertips, knuckles, or elbows
Fatigue or feeling tired
If you notice just a few -- or all -- of these symptoms together, call your doctor to get checked for scleroderma.
Avascular necrosis (AVN), also called osteonecrosis, aseptic necrosis, or ischemic bone necrosis, is a condition that occurs when there is loss of blood to the bone. Because bone is living tissue that requires blood, an interruption to the blood supply causes bone to die. If not stopped, this process eventually causes the bone to collapse.
Avascular necrosis most commonly occurs in the upper leg. Other common sites are the upper arm, knees, shoulder, and ankles.