Scleroderma

Question 1

Describe scleroderma, including the organs it affects (4)

Answer 1

• Autoimmune disease of the connective tissue, caused by accumulation of excessive collagen
• Affects skin, intestine, kidneys and sometimes the lungs, causing the formation of scar tissue

Question 2

List the general signs and symptoms of scleroderma (3)

Answer 2

Due to excess collagen and scar tissue formation:
• Immobility & rigidity of skin
• Skin ulcers
• Stiff joints

Question 3

Explain the dental considerations for scleroderma (3)

Answer 3

• Lip rigidity can restrict opening of mouth
• Lack of dexterity due to skin rigidity
• Sensitivity to cold, dampness, stress and fatigue