The mild to moderate proximal interphalangeal (PIP) joint flexion and extension contractures and stiff distal interphalangeal (DIP) joints in slight flexion often seen in sclerodactyly can be addressed somewhat with physical therapy. In a few cases when immune involvement isnt apparent (in these cases environmental causes are suspected), the condition may gradually clear up by itself If the trigger is avoided. In other cases, early treatment while the disease is in the inflammatory stage is much more likely to be successful than on established lesions. See also
Hand eczema
Atopic dermatitis


== References ==
In individuals assigned female at birth, complications can lead to pelvic inflammatory disease, chronic pelvic pain, vaginitis, mucopurulent cervicitis, and miscarriages. Causes
The disease is classified as either gonococcal urethritis, caused by Neisseria gonorrhoeae, or non-gonococcal urethritis (NGU), most commonly caused by Chlamydia trachomatis, which is accounted for 20-50% of routinely tested cases. NGU, sometimes called nonspecific urethritis (NSU), has both infectious and noninfectious causes. Other causes include:
Mycoplasma genitalium: second most common cause accounting for 15-20% of non-gonococcal urethritis
Trichomonas vaginalis: accounts for 2-13% of cases in the US; infection is mainly asymptomatic in most cases
Adenoviridae
Uropathogenic Escherichia coli (UPEC)
Herpes simplex virus
Cytomegalovirus
Reactive arthritis: urethritis is part of the triad of reactive arthritis, which includes arthritis, urethritis, and conjunctivitis. Ureaplasma urealyticum
Methicillin-resistant Staphylococcus aureus
Group B streptococcus
Irritation of the genital area: for example catheter-induced, physical activity, tight clothing or soaps
Fungal urethritis in immunosuppressed individual
Menopause

Diagnosis
Urethritis is usually diagnosed through collecting history on the individual and through a physical examination. In AFAB individuals, urethritis can be diagnosed with a number of tests including: urine test, blood test, vaginal culture, cytoscopy, or a nucleic acid test. AFAB individuals will also have abdominal and pelvic exams to check for urethral discharge, and tenderness of the lower abdomen or urethra.In AMAB individuals, urethritis is diagnosed by at least one of the following: mucopurulent or purulent urethral discharge on examination,  ≥ 2 white blood cells per oil immersion field from a Gram stain of a urethral swab, or positive leukocyte esterase and/or ≥10 white blood cells per high power field of the first-void urine.