The term, Scleroderma, means hard skin. People with this systemic disease tend to have thickening of the skin. They may also develop problems in the joints, blood vessels, and additional internal organs. Scleroderma affects more women than men, and usually appears when affected persons are in their forties or fifties. A common symptom of scleroderma is a condition called Raynaud’s phenomenon. In people with Raynaud’s, the fingers turn white and then blue when exposed to cold. The focus of treatment is on medication, exercise and protection of the skin and joints.