<prompt> Recurrent aspiration pneumonia caused byDermatomyostispolymyositisRheumatoid ahritisProgressive systemic sclerosisSystemic lupus erythrematosus  <response>: Answer- C. Progressive systemic sclerosisEsophageal hypomotility and incompetence of the lower esophageal sphincter disease causes chronic gastroesophageal reflux and recurrent episodes of aspiration in systemic sclerosis. 