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Sclerodermaâs main types are localized and systemic. Localized means the disease affects only certain parts of the body. Systemic means it can affect the whole body. 1  The localized type often affects only skin tissues. 2  It does not harm major organs.3  It may get better or go away without help.4  But it can be severe in some people and can leave skin damage.ocalized means the disease affects only certain parts of the body. Systemic means it can affect the whole body. 1  The localized type often affects only skin tissues. 2  It does not harm major organs. 3  It may get better or go away without help. 4  But it can be severe in some people and can leave skin damage.
Depending on your particular symptoms, a diagnosis of scleroderma may be made by: 1  A general internist. 2  A dermatologist, who specializes in treating diseases of the skin, hair, and nails. 3  An orthopaedist, who treats bone and joint disorders.  A pulmonologist, who is trained to treat lung problems.