Localized scleroderma causes local damage to the skin. Localized scleroderma includes three types: morphea, banded scleroderma, and guttate scleroderma. Localized scleroderma requires active treatment, so that the skin lesions will disappear relatively quickly.

If localized scleroderma is not well controlled, it can affect the connective tissue of internal organs including the heart, lungs, kidneys, and digestive tract. Among localized scleroderma, morphea is the most common, often appearing on the abdomen, back, etc. Localized scleroderma lesions initially appear as round, oval, or irregular edema patches that appear light red or purple. After weeks or months, it gradually expands and hardens. The color of the center gradually turns to light yellow or ivory, with a purple-red halo on the periphery. The surface is smooth, dry, and waxy. There is no sweating and no hair on the upper part. Over the course of several years, it slowly develops. Later, it gradually turns into white or light brown atrophic scars.

Generally speaking, localized scleroderma has a better prognosis after active treatment. The patient's scleroderma can relieve itself or subside after treatment, leaving behind atrophic scars and pigmentation. Among them, disabling is rare. Pansclerotic plaque type has a poor prognosis.

In terms of treatment, localized scleroderma is better treated with hormones. In cases of limb contracture, surgery or physical therapy is also required. Traditional Chinese medicine has certain clinical efficacy in treating localized scleroderma, but it is not as effective as hormones. Therefore, the use of traditional Chinese medicine for localized scleroderma requires persistence, so that the desired effect can be achieved.