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Rheumatoid Arthritis, Lupus & Autoimmune • ICD-10-CM M34.9

Scleroderma

Also known as: Circumscribed scleroderma, Dermatosclerosis, Systemic sclerosis

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM M34.9 • 8 Linked .gov / PubMed Citations • Governance: Dr. Priya Nair, MD, FAAD (NPI #1295730425)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Scleroderma Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Scleroderma?

What is scleroderma? Scleroderma means "hard skin." It's the name of an autoimmune disease that causes inflammation and thickening in the skin and other areas of the body. This inflammation causes you to have areas of tight, hard skin. Scleroderma may affect just one area of your body, or it can affect many systems in your body. What are the types of scleroderma? There are two main types of scleroderma: Localized scleroderma only affects your skin and the muscles and tissues just under your skin. Systemic scleroderma, which is also called systemic sclerosis, is a more serious type.

Pathophysiology, Underlying Causes & Clinical Presentation

In Scleroderma (M34.9), physiological disruption stems from T-lymphocyte activation [Scleroderma M34.9], Cross-referenced with NIH MeSH (Scleroderma, Systemic, Scleroderma, Localized), informing Rheumatoid Arthritis, Lupus & Autoimmune protocols that track ANA, RF, Anti-CCP in Scleroderma (M34.9: & Complement C3/C4) (Disease-activity remission targets (M34.9)).

Common Symptoms & Clinical Signs

  • • Localized scleroderma only affects your skin and the muscles and tissues just under your skin
  • • Hormones . Hormonal or immune system differences between women and men might play a part in the disease
  • • Presentation of Scleroderma (M34.9): systemic inflammatory fatigue, in Scleroderma (M34.9: low-grade fevers, dry)
  • • Secondary Scleroderma clinical sign: triphasic Raynaud color in Scleroderma (M34.9: changes in fingers)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Scleroderma Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code M34.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Rheumatoid Arthritis, Lupus & Autoimmune NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: hs-CRP & ESR [Scleroderma M34.9] hs-CRP < 1.0 mg/L; ESR < 15 mm/hr (M34.9) Clinical Reference Target Range
Diagnostic / Lab Marker: ANA, RF, Anti-CCP in Scleroderma (M34.9: & Complement C3/C4) Disease-activity remission targets (M34.9) Clinical Reference Target Range
Diagnostic / Lab Marker: CBC, ALT & in Scleroderma (M34.9: Creatinine (DMARD safety)) Within normal safety monitoring limits (M34.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Scleroderma

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Treatment selection for Scleroderma depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Scleroderma)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Tocilizumab Prevents Progression of Early Systemic Sclerosis-Associated

TCZ in early SSc-associated ILD with progressive skin disease stabilized FVC% over 48 weeks, independent of the extent of radiographically evident QILD.

Arthritis & rheumatology (Hoboken, N.J.) • 2021-07-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 33538094 ↗
Can This Approach Help? Inside the Latest Research on Peripheral Blood Gene Expression Profiling and Prognostic Significance for the

Among patients with SSc-ILD in the SENSCIS trial, PBC modules involved in myeloid lineage were associated with.

Arthritis & rheumatology (Hoboken, N.J.) • 2025-12-15 • Phase III Randomized Trial
N = 120 88/100 PMID 40420438 ↗
Can This Approach Help? Inside the Latest Research on Outcomes in Systemic Sclerosis-Associated Interstitial Lung Disease Based on

These analyses of data from the SENSCIS trial suggest that patients with SSc-ILD who are ACA positive or ARA positive can experience progression of SSc-ILD.

The Journal of rheumatology • 2025-09-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 40233987 ↗
Can This Approach Help? Inside the Latest Research on Benefits and safety of tocilizumab in Japanese patients with systemic sclerosis

The real-world benefits and safety of tocilizumab in patients with systemic sclerosis were consistent between the Japanese subpopulation and the global trial population.

Modern rheumatology • 2024-03-28 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 37436828 ↗
Can This Approach Help? Inside the Latest Research on Benefits and safety of Botulinum Toxin in Adults with Raynaud's Phenomenon

Neither the primary nor secondary end points were reached, and our results do not support any beneficial effect of palmar BTA injections to treat SSc-RP.

Arthritis & rheumatology (Hoboken, N.J.) • 2023-03-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 36066501 ↗
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Scleroderma Patient Community & “People Like Me” Threads

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