{"id":1353,"date":"2026-06-17T09:16:55","date_gmt":"2026-06-17T06:16:55","guid":{"rendered":"https:\/\/reumatologiebucuresti.ro\/?p=1353"},"modified":"2026-06-17T09:16:55","modified_gmt":"2026-06-17T06:16:55","slug":"sclerodermia-de-ce-se-ingroasa-pielea-si-se-albesc-degetele-la-frig","status":"publish","type":"post","link":"https:\/\/reumatologiebucuresti.ro\/index.php\/2026\/06\/17\/sclerodermia-de-ce-se-ingroasa-pielea-si-se-albesc-degetele-la-frig\/","title":{"rendered":"Sclerodermia \u2013 de ce se \u00eengroa\u0219\u0103 pielea \u0219i se albesc degetele la frig?"},"content":{"rendered":"

\\Ce este sclerodermia?<\/b><\/span><\/span><\/p>\n

Sclerodermia este o boal\u0103 autoimun\u0103 rar\u0103 \u00een care pot ap\u0103rea:<\/span><\/span><\/p>\n

– inflama\u021bie<\/span><\/span><\/p>\n

– afectarea vaselor de s\u00e2nge<\/span><\/span><\/p>\n

– fibroz\u0103 (\u00eent\u0103rirea anumitor \u021besuturi)<\/span><\/span><\/p>\n

Boala poate afecta:<\/span><\/span><\/p>\n

– pielea<\/span><\/span><\/p>\n

– vasele de s\u00e2nge<\/span><\/span><\/p>\n

– articula\u021biile<\/span><\/span><\/p>\n

– pl\u0103m\u00e2nii<\/span><\/span><\/p>\n

– tubul digestiv<\/span><\/span><\/p>\n

– inima<\/span><\/span><\/p>\n

– rinichii<\/span><\/span><\/p>\n

Exist\u0103 forme foarte diferite de boal\u0103. Unele persoane au forme mai limitate \u0219i evolu\u021bie lent\u0103, iar altele pot dezvolta afect\u0103ri de organ care necesit\u0103 monitorizare atent\u0103 \u0219i evaluare \u00een centre cu experien\u021b\u0103 \u00een bolile autoimune sistemice.<\/span><\/span><\/p>\n

De ce apare senza\u021bia c\u0103 pielea \u201ese str\u00e2nge\u201d?<\/b><\/span><\/span><\/p>\n

Unul dintre simptomele caracteristice este \u00eengro\u0219area \u0219i \u00eent\u0103rirea pielii.<\/span><\/span><\/p>\n

Pacien\u021bii pot observa:<\/span><\/span><\/p>\n

– senza\u021bia c\u0103 pielea este mai rigid\u0103<\/span><\/span><\/p>\n

– dificultate la str\u00e2ngerea pumnului<\/span><\/span><\/p>\n

– piele lucioas\u0103<\/span><\/span><\/p>\n

– degete care devin mai greu de mobilizat<\/span><\/span><\/p>\n

– senza\u021bia c\u0103 pielea \u201e\u021bine\u201d<\/span><\/span><\/p>\n

La nivelul m\u00e2inilor pot ap\u0103rea:<\/span><\/span><\/p>\n

– dificult\u0103\u021bi la mi\u0219c\u0103rile fine<\/span><\/span><\/p>\n

– rigiditate<\/span><\/span><\/p>\n

– sc\u0103derea flexibilit\u0103\u021bii degetelor<\/span><\/span><\/p>\n

– contracturi<\/span><\/span><\/p>\n

– limitarea progresiv\u0103 a mobilit\u0103\u021bii<\/span><\/span><\/p>\n

De ce se albesc sau se \u00eenvine\u021besc degetele la frig?<\/b><\/span><\/span><\/p>\n

Mul\u021bi pacien\u021bi cu sclerodermie au fenomen Raynaud.<\/span><\/span><\/p>\n

Pacientul poate observa c\u0103 la frig sau stres:<\/span><\/span><\/p>\n

– degetele se albesc<\/span><\/span><\/p>\n

– apoi devin alb\u0103strui<\/span><\/span><\/p>\n

– ulterior se \u00eenro\u0219esc \u0219i devin dureroase<\/span><\/span><\/p>\n

Acest lucru apare din cauza spasmului vaselor mici de s\u00e2nge.<\/span><\/span><\/p>\n

Uneori fenomenul Raynaud poate ap\u0103rea cu ani \u00eenaintea altor simptome.<\/span><\/span><\/p>\n

De ce apar r\u0103ni pe degete?<\/b><\/span><\/span><\/p>\n

\u00cen unele cazuri circula\u021bia sanguin\u0103 de la nivelul degetelor este afectat\u0103 mai important.<\/span><\/span><\/p>\n

Pot ap\u0103rea:<\/span><\/span><\/p>\n

– ulcera\u021bii dureroase<\/span><\/span><\/p>\n

– r\u0103ni care se vindec\u0103 greu<\/span><\/span><\/p>\n

– sensibilitate important\u0103 la frig<\/span><\/span><\/p>\n

– dureri ale pulpelor degetelor<\/span><\/span><\/p>\n

Pot ap\u0103rea arsuri sau probleme digestive?<\/b><\/span><\/span><\/p>\n

Sclerodermia poate afecta tubul digestiv, cel mai frecvent esofagul.<\/span><\/span><\/p>\n

Pacien\u021bii pot avea:<\/span><\/span><\/p>\n

– reflux gastroesofagian<\/span><\/span><\/p>\n

– arsuri<\/span><\/span><\/p>\n

– senza\u021bia c\u0103 alimentele coboar\u0103 greu<\/span><\/span><\/p>\n

– balonare<\/span><\/span><\/p>\n

– tulbur\u0103ri digestive<\/span><\/span><\/p>\n

De ce apare lipsa de aer?<\/b><\/span><\/span><\/p>\n

\u00cen anumite cazuri boala poate afecta pl\u0103m\u00e2nii sau vasele pulmonare.<\/span><\/span><\/p>\n

Pacientul poate observa:<\/span><\/span><\/p>\n

– lips\u0103 de aer la efort<\/span><\/span><\/p>\n

– tuse seac\u0103 persistent\u0103<\/span><\/span><\/p>\n

– oboseal\u0103 accentuat\u0103<\/span><\/span><\/p>\n

– sc\u0103derea toleran\u021bei la efort<\/span><\/span><\/p>\n

Pot ap\u0103rea dureri articulare?<\/b><\/span><\/span><\/p>\n

Unii pacien\u021bi pot avea:<\/span><\/span><\/p>\n

– dureri articulare<\/span><\/span><\/p>\n

– rigiditate<\/span><\/span><\/p>\n

– umflarea articula\u021biilor<\/span><\/span><\/p>\n

– dureri musculare<\/span><\/span><\/p>\n

– limitarea mi\u0219c\u0103rilor<\/span><\/span><\/p>\n

ANA pozitiv \u00eenseamn\u0103 automat sclerodermie?<\/b><\/span><\/span><\/p>\n

Nu.<\/span><\/span><\/p>\n

Diagnosticul nu se stabile\u0219te pe baza unei singure analize, ci prin corelarea:<\/span><\/span><\/p>\n

– simptomelor<\/span><\/span><\/p>\n

– examenului clinic<\/span><\/span><\/p>\n

– analizelor<\/span><\/span><\/p>\n

– investiga\u021biilor suplimentare<\/span><\/span><\/p>\n

Ce analize \u0219i investiga\u021bii se folosesc?<\/b><\/span><\/span><\/p>\n

\u00cen anumite situa\u021bii pot fi necesare:<\/span><\/span><\/p>\n

– analize imunologice<\/span><\/span><\/p>\n

– capilaroscopie<\/span><\/span><\/p>\n

– probe func\u021bionale respiratorii<\/span><\/span><\/p>\n

– CT pulmonar<\/span><\/span><\/p>\n

– ecocardiografie<\/span><\/span><\/p>\n

– evalu\u0103ri cardiologice<\/span><\/span><\/p>\n

Sclerodermia poate fi confundat\u0103 cu alte boli?<\/b><\/span><\/span><\/p>\n

La \u00eenceput unele simptome pot fi nespecifice \u0219i pot sem\u0103na cu:<\/span><\/span><\/p>\n

– fenomen Raynaud primar<\/span><\/span><\/p>\n

– alte boli autoimune<\/span><\/span><\/p>\n

– afec\u021biuni vasculare<\/span><\/span><\/p>\n

– boli pulmonare<\/span><\/span><\/p>\n

– afec\u021biuni digestive<\/span><\/span><\/p>\n

Exist\u0103 tratament?<\/b><\/span><\/span><\/p>\n

Sclerodermia este o boal\u0103 complex\u0103, pentru care nu exist\u0103 un tratament unic care s\u0103 vindece boala sau s\u0103 fie potrivit tuturor pacien\u021bilor.<\/span><\/span><\/p>\n

Tratamentul se stabile\u0219te \u00een func\u021bie de:<\/span><\/span><\/p>\n

– forma bolii<\/span><\/span><\/p>\n

– organele afectate<\/span><\/span><\/p>\n

– severitatea manifest\u0103rilor<\/span><\/span><\/p>\n

– ritmul de evolu\u021bie<\/span><\/span><\/p>\n

– riscul de complica\u021bii<\/span><\/span><\/p>\n

\u00cen practic\u0103, tratamentul este orientat pe problemele concrete ale fiec\u0103rui pacient, de exemplu:<\/span><\/span><\/p>\n

– tratament pentru fenomenul Raynaud \u0219i circula\u021bia de la nivelul degetelor<\/span><\/span><\/p>\n

– tratament pentru ulcera\u021biile digitale<\/span><\/span><\/p>\n

– tratament pentru refluxul gastroesofagian \u0219i simptomele digestive<\/span><\/span><\/p>\n

– tratament pentru afectarea pulmonar\u0103, dac\u0103 aceasta exist\u0103<\/span><\/span><\/p>\n

– tratament pentru hipertensiunea pulmonar\u0103, dac\u0103 este prezent\u0103<\/span><\/span><\/p>\n

– tratament pentru manifest\u0103rile articulare sau musculare<\/span><\/span><\/p>\n

– monitorizarea tensiunii arteriale \u0219i a func\u021biei renale<\/span><\/span><\/p>\n

Unele forme limitate, f\u0103r\u0103 afectare important\u0103 de organ, pot fi urm\u0103rite \u00een ambulatoriu, cu monitorizare periodic\u0103.<\/span><\/span><\/p>\n

\u00cen schimb, formele cu afectare pulmonar\u0103, cardiac\u0103, renal\u0103, vascular\u0103 sever\u0103 sau cu evolu\u021bie rapid\u0103 necesit\u0103 evaluare \u0219i monitorizare \u00een spitale sau centre cu experien\u021b\u0103 \u00een sclerodermie \u0219i boli autoimune sistemice.<\/span><\/span><\/p>\n

De ce este important\u0103 monitorizarea periodic\u0103?<\/b><\/span><\/span><\/p>\n

Monitorizarea poate ajuta la:<\/span><\/span><\/p>\n

– depistarea precoce a complica\u021biilor<\/span><\/span><\/p>\n

– ajustarea tratamentului<\/span><\/span><\/p>\n

– evaluarea evolu\u021biei bolii<\/span><\/span><\/p>\n

C\u00e2nd trebuie contactat medicul reumatolog?<\/b><\/span><\/span><\/p>\n

Este important ca pacientul s\u0103 contacteze medicul reumatolog curant dac\u0103 apar:<\/span><\/span><\/p>\n

– agravarea fenomenului Raynaud<\/span><\/span><\/p>\n

– r\u0103ni la nivelul degetelor<\/span><\/span><\/p>\n

– lips\u0103 de aer<\/span><\/span><\/p>\n

– tuse persistent\u0103<\/span><\/span><\/p>\n

– umflarea picioarelor<\/span><\/span><\/p>\n

– cre\u0219terea tensiunii arteriale<\/span><\/span><\/p>\n

– agravarea rapid\u0103 a rigidit\u0103\u021bii pielii<\/span><\/span><\/p>\n

– dificult\u0103\u021bi importante la \u00eenghi\u021bire<\/span><\/span><\/p>\n

– agravarea st\u0103rii generale<\/span><\/span><\/p>\n

\u00cen anumite situa\u021bii poate fi necesar\u0103 evaluare \u00een spital sau \u00een centre cu experien\u021b\u0103 \u00een monitorizarea sclerodermiei.<\/span><\/span><\/p>\n

Ce trebuie s\u0103 \u0219tie pacien\u021bii despre sclerodermie?<\/b><\/span><\/span><\/p>\n

Sclerodermia este o boal\u0103 rar\u0103 \u0219i complex\u0103, cu forme foarte diferite de evolu\u021bie.<\/span><\/span><\/p>\n

Evaluarea reumatologic\u0103 este important\u0103 mai ales atunci c\u00e2nd apar:<\/span><\/span><\/p>\n

– fenomen Raynaud<\/span><\/span><\/p>\n

– \u00eengro\u0219area pielii<\/span><\/span><\/p>\n

– r\u0103ni la nivelul degetelor<\/span><\/span><\/p>\n

– lips\u0103 de aer<\/span><\/span><\/p>\n

– reflux important<\/span><\/span><\/p>\n

– rigiditate progresiv\u0103 a m\u00e2inilor<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

\\Ce este sclerodermia? Sclerodermia este o boal\u0103 autoimun\u0103 rar\u0103 \u00een care pot ap\u0103rea: – inflama\u021bie – afectarea vaselor de s\u00e2nge – fibroz\u0103 (\u00eent\u0103rirea anumitor \u021besuturi) Boala poate afecta: – pielea – vasele de s\u00e2nge – articula\u021biile – pl\u0103m\u00e2nii – tubul digestiv – inima – rinichii Exist\u0103 forme foarte diferite de boal\u0103. Unele persoane au forme […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-1353","post","type-post","status-publish","format-standard","hentry","category-boli-reumatice"],"_links":{"self":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/comments?post=1353"}],"version-history":[{"count":1,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1353\/revisions"}],"predecessor-version":[{"id":1354,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1353\/revisions\/1354"}],"wp:attachment":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/media?parent=1353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/categories?post=1353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/tags?post=1353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}