Scleroderma is a spectrum of disorders comprising diseases predominantly vascular in origin, such as Raynaud’s phenomenon, and more fibrotic in origin, such as morphea. Systemic sclerosis occupies the centre of this spectrum with both vascular and fibrotic features. Systemic sclerosis is an uncommon autoimmune disease on the scleroderma spectrum of disorders. Scleroderma is a combined meaning from two Greek words: ‘skleros’ meaning hard and ‘derma’ meaning skin.