If it is scleroderma, is it a lifelong dilemma?

Usually. As no effective treatments exist, this disease is often chronic and progressive. In rare instances, remissions have occurred.
Usually. Some people can go into remission but usually it stays can be present for a lifetime. Each person's scleroderma is different and treatment depends on the involvement externally or internally.
Yes. Scleroderma is a very rare autoimmune disease with is generally without any effective treatment. Patients with this disorder often have a progressively worsening disease with a poor outcome. To date, no effective treatment has been found to prevent the ultimate outcome of this very unfortunate disorder.