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Scleroderma, also known as systemic sclerosis, is a chronic autoimmune disease that causes hardening and tightening of the skin and connective tissues. It is caused by an overproduction of collagen and immune system dysfunction that leads to abnormal antinuclear antibody (ANA) production. The ANA Screen IFA with Reflex to Titer and Pattern is the most important test for scleroderma diagnosis.
Scleroderma is caused by an overactive immune system that triggers excessive collagen production in the skin and connective tissues. The exact trigger is unknown, but the immune system mistakenly attacks healthy tissue, leading to inflammation, scarring, and thickening of the skin and blood vessels. This autoimmune process causes the body to produce abnormal antibodies, particularly antinuclear antibodies (ANA), which can be detected through blood tests.
The ANA Screen IFA with Reflex to Titer and Pattern is the most important test for scleroderma because it detects the antinuclear antibodies present in over 90% of people with systemic sclerosis. This test identifies specific antibody patterns that help confirm the autoimmune nature of the disease and can even suggest which type of scleroderma you might have. Additional tests like the Mitochondrial Antibody with Reflex to Titer and Rheumatoid Factor can provide supplementary information about your autoimmune profile and help your doctor distinguish scleroderma from other similar conditions.
You should get tested if you notice thickening or tightening of your skin, especially on your hands and face, or if you experience Raynaud phenomenon where your fingers turn white or blue in cold temperatures. Other signs include persistent heartburn, difficulty swallowing, unexplained fatigue, joint pain, or shortness of breath. Early testing is important because catching scleroderma in its early stages allows for better management and can help prevent serious complications affecting your heart, lungs, or kidneys.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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