If you have scleroderma, it can take time to get the diagnosis. Scleroderma is rare, and the signs and symptoms are similar to many other diseases. Doctors who most commonly diagnose scleroderma are dermatologists and rheumatologists. Dermatologists have expertise in diagnosing diseases that affect the skin, and rheumatologists specialize in diseases that affect the joints, muscles, and bones. To diagnose scleroderma, a doctor usually begins by asking you about your symptoms, health, and medical history. The doctor will also examine your skin for signs of hardening and thickening. If you have hard, thickened skin, a dermatologist may perform a skin biopsy to help diagnose you. This is a fast-and-easy test that your dermatologist can perform during an office visit. Your dermatologist will remove a bit of affected skin so that it can be examined under a microscope.
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