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Sclero skin manifestations ?

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Hope all of you are doing well,


You may have heard this type of question many times; but I was curious about your first clinical skin symptoms.

How do facial changes even begin? Does it proceed after many years of other symptoms such as Raynaud's, or sclerodactyly?

Also, if you had facial changes, how did they begin/manifest? I heard somewhere it must be symmetrical or else, it's not really scleroderma. 


Thank you for your time, blessings!


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