Abstract
We report a 38-year-old female patient with limited cutaneous systemic sclerosis. Within one month, there occurred rapid progression of edematous thickening in the bilateral forearm skin. We administered treatment with oral predonisolone at a dose of 20 mg/day. After two weeks, the modified Rodman total skin thickness score decreased from 15 to 9 points. In addition, we evaluated severity in various organs according to the classification of severity and the guidance of treatment of scleroderma published by the Ministry of Health, Labour and Welfare scleroderma investigation research group in 2004.