In addition to the thickening of skin, the following other symptoms may occur in a person with scleroderma: Swelling of the hands and feet Red spots on the skin (telangectasias) Excessive calcium deposition in the skin (calcinosis) Joint contractures (rigidity) Tight, mask-like facial skin Ulcerations on the fingertips and toes Pain and stiffness in the joints Persistent cough Shortness of breath Heartburn (acid reflux) Difficulty swallowing Digestive and gastrointestinal problems Constipation Weight loss Fatigue Hair loss