Your aunt should get another doctor. One who can explain her condition to her, but explain it with compassion. And explain to her what treatment options are available. My uncle never had any treatment for his scleroderma, but he lived for over 20 years with it. His first symptoms were tiny little bumps, like pimples, that we first noticed on his ears. He got more and more little bumps, and in time his skin became tight. Eventually, he had a hard time using his hands, and chewing because the skin of his jaw and hands was so tight. But he was completely independent up to the time of his death. He drove down to see us just ten days before his death(a trip of 100 miles). He was never an invalid, and we are not even sure if his death was related to the scleroderma or not.