<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 51-year-old woman comes to the physician because of a 1-year history of occasional discoloration and tingling in her fingers. She has no history of major medical illness and takes no medications. Examination of the hands and fingers shows thickened, waxy skin and several firm white nodules on the fingertips. Further evaluation of this patient is most likely to show which of the following findings?? A: Serositis, B: Upper eyelid rash, C: Telangiectasia, D: Endocardial immune complex deposition, E: Interstitial lung disease,  <response>: This is a clinical vignette describing a 51-year-old woman with a 1-year history of occasional discoloration and tingling in her fingers, as well as thickened, waxy skin and firm white nodules on her fingertips on exam. This presentation is most consistent with scleroderma, specifically the limited cutaneous subtype. Scleroderma can present with Raynaud phenomenon causing discoloration of the fingers, skin thickening, and fingertip ulcers. The choices describe findings associated with other autoimmune diseases like lupus and rheumatoid arthritis. Telangiectasia dilated superficial blood vessels can be seen in scleroderma, making choice C the most likely answer.C: Telangiectasia 