What Causes Scleroderma?
Looks like scleroderma only.
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that given your symptoms the most probable diagnosis is scleroderma only . But you havent mentioned about your ANA and ENA profile to look for autoantibodies .
Sometimes autonomic disturbances like hypotension can be seen with these autoimmune disorders . The prognosis depends upon the organ involvement , the more the organs involved worse will be the prognosis . It cannot be generalised and vary from case to case .
I would like to see your test reports before guiding your regarding the treatment. Any other concern we will be happy to answer .