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BOF: 149

A 47-year-old female presents with a long history of Raynaud’s 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 antibodies.

In this illness a later complication that is significant is:

a)      Severe erosive arthropathy

b)      Oesophageal Adenocarcinoma

c)      Renal failure

d)      Pulmonary hypertension

e)      Heart failure

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