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Systemic Sclerosis, also known as scleroderma, is a chronic autoimmune disorder that causes hardening and tightening of the skin and connective tissues. It is caused by overproduction of collagen due to immune system dysfunction that attacks healthy tissue. The ANA Screen IFA with Reflex to Titer and Pattern is the most important test for diagnosis because it detects specific autoantibodies present in most scleroderma patients.
Systemic Sclerosis is caused by an overactive immune system that mistakenly attacks healthy connective tissue, leading to excessive collagen production. This autoimmune response causes the skin, blood vessels, and internal organs to become thick and hard. While the exact trigger is unknown, genetic factors, environmental exposures, and certain viral infections may play a role in activating the immune system dysfunction that leads to scleroderma.
The ANA Screen IFA with Reflex to Titer and Pattern is the most important test for Systemic Sclerosis because it detects antinuclear antibodies present in approximately 95% of scleroderma patients. This test uses immunofluorescence to identify specific autoantibody patterns that help distinguish scleroderma from other autoimmune conditions. High ANA levels with characteristic patterns such as nucleolar or centromere patterns strongly support the diagnosis. The Anti-dsDNA test may provide additional immunological information in select cases where a comprehensive autoimmune profile is needed.
You should get tested if you notice skin thickening or tightening, especially on your fingers, hands, or face. Other warning signs include Raynaud's phenomenon where your fingers turn white or blue in cold temperatures, persistent heartburn or difficulty swallowing, unexplained shortness of breath, or joint pain and stiffness. Early testing is particularly important if you have a family history of autoimmune diseases or if your symptoms are progressively worsening, as early diagnosis allows for better management of organ involvement.
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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