Scleroderma / Ulcers on fingers

These pictures belong to a woman suffering from scleroderma. She is 77 years old and signs and symptoms occurred in 2010 for the first time. ESR 39 mm, CRP 7,4 mg/l, complement C3 83.7 mg/dl and C4 5.9 mg/dl, antinuclear antibodies 1:20480 granular, SCL-70 positive. RR 120/70 mm Hg, heart rate 72/min. The photographs show fingers before and after a week of therapy. Current drug therapy: phenprocoumon, a statin, verapamil, Ilomedine at 20 mg/day i.v.