A 47-year-old female presents with a long history of
Raynaudís phenomenon. She also complains of heartburn and reflux. On
examination she has a small mouth and a beak like nose. The skin over her
fingers is tight and shiny.
She has multiple telangiectasia over her face and
nail-fold capillary loops are seen.
Her investigations show she has Anticentromere
In this illness a later complication that is
Severe erosive arthropathy