Does Scleroderma Cause Bruising?

Scleroderma, a rare connective tissue disorder, can indeed lead to bruising, although it is not one of the most common symptoms. Scleroderma is a long-term disease that causes hardening and tightening of your skin and You have bruises that you cannot explain.

Scleroderma and Its Impact on the Body

Scleroderma affects the skin and internal organs, leading to fibrosis, thickening, and hardening of tissues, and changes in blood vessels. This can result in a range of skin changes and vascular issues, both of which can contribute to bruising.

Skin Changes Caused by Scleroderma

Patients with scleroderma may experience skin changes such as tightness and loss of elasticity. This can make the skin more prone to injury and bruising. Tight skin can also lead to reduced blood circulation, further exacerbating the risk of bruising.

Vascular Changes in Scleroderma

The disease can affect the blood vessels, making them more fragile and susceptible to breaking. Fragile blood vessels can lead to bruising, even with minor trauma. Vasculitis, a condition associated with scleroderma where blood vessels become damaged by inflammation, can also play a role in increased bruising.

Medication Side Effects and Other Causes of Bruising

Medications used to treat scleroderma or its symptoms, including vasculitis, can also increase the risk of bruising. Certain medications can dilate blood vessels, weaken them, or disrupt normal blood flow, leading to more frequent or severe bruising.

Diagnosis and Treatment of Vasculitis

Diagnosing vasculitis in patients with scleroderma involves a combination of visible symptoms, blood and urine tests, imaging studies like angiography, and biopsies. Treatment options include glucocorticoids and immunosuppressants, which can have side effects.

When to Seek Medical Attention

It is important to consult a healthcare provider if bruising is frequent or severe, as it might indicate other underlying conditions or complications. Understanding the symptoms and causes of bruising in scleroderma can help in timely diagnosis and appropriate management.

Closing Thoughts

Scleroderma, while primarily known for its impact on skin and internal organs, can indeed cause bruising due to both skin changes and vascular issues. Vasculitis, a complication of scleroderma, can further exacerbate this condition. If you or anyone you know is experiencing unexplained bruising, it is advisable to seek medical advice to rule out scleroderma and other associated conditions.