<prompt> A 35-year-old lady complains of dysphagia, Raynauds phenomenon and her hands show the following appearance. Investigations show positive ANA. The likely diagnosis isSystemic lupus erythematosusSystemic sclerosisMixed connective tissue disorderRheumatoid ahritis  <response>: Systemic sclerosisChronic disease characterized by:cc inflammation, dt autoimmunityWidespread damage to small blood vesselsProgressive interstitial perivascular fibrosis in skin multiple organs 