Introduction. Systemic sclerosis is a rare autoimmune disorder of the
connective tissue, gastrointestinal tract, lungs, kidneys, and
musculoskeletal tissue. It predominantly affects women. The localized
variant is limited scleroderma. Case Report. We present a 64-year-old female
patient with the diagnosis of limited scleroderma that has lasted for
thirteen years. She had hyperpigmentation, telangiectasias, and progressive
skin tightening of the face and fingers. Her blood test was positive for
antinuclear antibodies. Sclerodactyly began in the distal phalanx. Tender
and painful calcium deposits appeared subcutaneously on the surface of palms
and knees, radiographically confirmed. The patient was treated with surgical
debridement, vasodilating agents, corticosteroids, diltiazem, sildenafil,
nitro paste, antiplatelet drugs, and physical therapy. Conclusion. It is
necessary to control numerous factors that affect daily functioning,
including nutrition, pain therapy, musculoskeletal dysfunctions, and
emotional and social aspects caused by deformities. Targeted therapy in the
early stages of the disease, before irreversible damage occurs, improves the
overall quality of life.