But the reality is I have seen many more people with mild to moderate facial skin involvement than I have seen cases of severe manifestation. Many people get little red dots on their face and hands. These are called Telangiectasias . They do not ooze, itch and are not a rash of any sort. They are simply red dots that disappear when pressed.
Some people complain of tightening in the temples which can cause excruciating headaches.
Some have scalp tightening. Others get a pronounced gum line which causes their teeth to stick out. The way it has been explained to me is that scleroderma can cause the neckline to have a color change which is usually Yellow or Brown and most people see a beading or as some describe ridging. This one is funny because I used to get in trouble with my mother because she always told me I hadn't washed my neck. It still looked dirty.