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.
Raynaud Phenomenon. Raynaud Phenomenon is the most common early symptom of systemic scleroderma. It is present at one time or another in about 90 percent of patients. It is most obvious in the fingers and toes but can also involve the ears, nose and tip of the tongue.