both localized and systemic. A good article explaining it. I know someone just diagnosed with localized scleroderma and the sister has Raynaud's. One of my friends died from systemic scleroderma, RA, and Lupus.
http://en.wikipedia.org/wiki/Scleroderma
http://www.webmd.com/pain-management/scleroderma
And there is pain big time for person the I know and for my friend who died.