Hi, I'm glad to see a husband who wants to know whats going on. I have scleroderma overlapping with lupus and dermatomotosis. Scleroderma can affect skin, organs, just about anything. My blood pressure went up when I had problems with my kidneys. I hope she has a good doctor. Read as much as you can and research whatever you can find. I've dealt with this for over 30 years now and alot of times doctors aren't up on everything. I take lots of antidepressants, pain meds, muscle relaxers, and xanax. Every 3 months I take steroids for 7 days.(I've been waiting for a rheumy referral for over a year) My ana is usally around 300 but has been as high as 10,000. I was very ill then. Doctors usually go by your ana to gauge the disease but you can't always go by that. I felt fine when mine was 1200 once. Just be supportive and question the doctor if you don't agree or understand. It seems you have to see a specialist for every thing that goes wrong. I just lost a friend on New Years Eve. She had been waiting for a heart/lung transplant for 6 months. She had gone undiagnosed for years. The doctor kept stretching her throat because she had a hard time swallowing. Hope this helps. Best of luck.