Narrated video slideshow of photos of systemic sclerosis (scleroderma) symptoms, including Raynaud’s, digital ulcers, gangrene, digital sympathectomy, and sclerodactyly. Not all scleroderma patients have visible symptoms. Many have internal organ involvement that is much harder to detect. By Shelley Ensz for the nonprofit International Scleroderma Network at sclero.org.