Scleroderma is an autoimmune condition where the immune system drives abnormal tissue thickening and changes in small blood vessels. The most visible sign is often skin tightening, but scleroderma is a whole-body condition.
It can affect the lungs, gastrointestinal tract, heart, and kidneys – sometimes quietly, before more obvious symptoms emerge. That’s why understanding which form of scleroderma is present, and watching for internal involvement early, makes such a difference.
Patients with scleroderma may experience:
Skin tightening or thickening, often starting in the fingers
Raynaud's phenomenon - color changes in the fingers with cold or stress
Digital ulcers or sores on the fingertips
Heartburn, difficulty swallowing, or other GI symptoms
Shortness of breath or reduced exercise tolerance
Joint stiffness, fatigue, or muscle weakness
Scleroderma is heterogeneous. Some patients have limited skin involvement and slowly progressive symptoms; others have more rapid changes that need closer monitoring. Antibody patterns help guide what to watch for, but the clinical picture evolves over time and benefits from continued reassessment.
Complex autoimmune disease deserves time, attention, and persistence. Here’s how that shows up in practice.
Subtle signs - Raynaud's, GI changes, exercise tolerance - often carry the most diagnostic weight. We take time to hear them.
Antibody testing, capillaroscopy when helpful, and structured screening for lung, heart, and kidney involvement.
Skin, vascular, GI, pulmonary, cardiac, renal - we assess across systems because scleroderma quietly reaches further than the skin.
Scleroderma evolves. We continue to refine the picture and the plan as new findings emerge.
An extended visit to map your symptoms, review prior records, and identify what needs immediate attention versus close monitoring.
Targeted treatment for active symptoms - Raynaud's, GI symptoms, skin, pulmonary - matched to your specific subtype and goals.
Regular reassessment of organ involvement and coordination with pulmonary, cardiology, or GI colleagues when needed.
We serve patients across the Colorado Front Range, including Denver, Colorado Springs, Aurora, Fort Collins, Lakewood, Thornton, Arvada, Westminster, Pueblo, Greeley, Boulder, and Centennial.
Path A
Path B
Path A
Ongoing Membership Care
$450/month
We provide expert autoimmune care to patients across the Colorado Front Range region.
Serving patients across: Denver, Colorado Springs, Aurora, Fort Collins, Lakewood, Thornton, Arvada, Westminster, Pueblo, Greeley, Boulder, Centennial, Englewood, Littleton, Evergreen, Grand Junction, Aspen, Glenwood Springs.
Rheumatology & Autoimmune Specialist
Providing expert-level autoimmune care with over 30 years of academic medicine experience. Serving Colorado in-person and licensed telemedicine states.
© 2026 Dr. Susan Boackle, MD. All rights reserved.
St. Charbel Rheumatology is located at 3601 S. Pennsylvania St. Suite B, Englewood, CO 80113. Office hours are Monday–Thursday, 8:30 AM – 4:30 PM MT, with limited availability on Fridays. This website is for informational purposes only and does not constitute medical advice. Please consult with a qualified healthcare provider for medical advice, diagnosis, or treatment.