Question
Hi Amelia,

I have been to see my GP regarding swelling, burning hands and feet which feel numb and tingle and which are susceptible to cold temperatures and stress. My GP seemed unconcerned about the Raynauds but has referred me to a neurologist.

My concern is that I have small areas or reddish-brown skin on my back which fit the description of morphea and I am concerned that the Raynauds co-existing with the possible morphea could mean that I have scleroderma.

Is there a specific test I can request from my GP as I am being referred down the neurological route and I'm conscious that Raynauds/morphea require a rheumatology investigation?

Grateful for any guidance or advice you could provide.

Sarah  

Answer
The best specialist to see to be assessed for scleroderma is a rheumatologist, but it doesn't surprise me that you've been sent in another direction.  I'd imagine as soon as you said "numb," your doc thought "neurological."  Your doc can order an antinuclear antibodies test (ANAs) and can also check your sedimentation rate (sed rate.)  However, these are NOT diagnostic for scleroderma, only supportive of a doctors diagnosis based on symptoms and history.