Policy, Plans, and Evaluation Division (PPED) This page is to support the Policy, Plans, and Evaluation Division's (PPED) overarching goals and strategic objectives for continuity in support of its branches â Policy and Plans Branch, Continuity Training Branch, and Continuity Exercise and Evaluation Branch.
Other symptoms of localized scleroderma may include swelling of the fingers, hands, face, forearms, lower legs and/or feet. The skin in these areas eventually becomes hard and thickened, and movement becomes more difficult. Muscles can also become weak and joint stiffness can occur.
Another early sign of systemic scleroderma is puffy or swollen hands before thickening and hardening of the skin due to fibrosis. Skin thickening usually occurs first in the fingers (called sclerodactyly) and may also involve the hands and face.n addition, people with systemic scleroderma often have open sores (ulcers) on their fingers, painful bumps under the skin (calcinosis), or small clusters of enlarged blood vessels just under the skin (telangiectasia).