<prompt> Which of the following is false about scleroderma?Digital ulcerationGastroesophageal Reflux Disease GERDMask like faciesFemale preponderance of 9 :1  <response>: Ans. D. Female preponderance of 9:1Scleroderma or Systemic Sclerosis is an autoimmune rheumatic disease in which there is a 4:1 female predominance. A wide spectrum of clinical features are seen in Scleroderma: Severe pruritus Initially, scleroderma patients experience puffiness and non-pitting edema of fingers. The skin later becomes indurated, thickened, and fixed to underlying structures resulting in sclerodactyly. Vasospasm and Digital ulceration Around 90 of patients suffering from scleroderma, have dysphagia, and GERD at the level of esophagus. Mask like facies is seen due to the waxy nature of skin and lack of wrinkles.Typical facial features: note the expressionless facies, mat-like telangiectases, microstomia, perioral furrowing and beak-like nose.Digital UlcerationAdvanced-stage sclerodactyly with contractures and vasculopathic ulcers over the bony prominences 