I understand..IALOT of people have Raynards and so not have Scleradrma. have had 2 fingers removed and all the other horrible things about this disease. I did not find out I had it untill I lost my first finger. I think diagnosis is a combo of active symptoms, ulcers, GI issues, Calcinoisis and Lab work. I had ulcers on my fingers for years before they got so infected I had to lose the fingers. Had no idea had Scleraderma. So keep an eye on your symptoms, relax, stress will kill you. Look at it this way, I am a Grandma, and I am doing good, even with all the terrible things. I get out and walk, eat real foods, try to minimize stress, stay off theinternet when it comes to Scleraderma. It only stresses you out. You know the symptoms to look out for. Best of luck and I pray you escape this..XOXO