The face in systemic sclerosis.This connective tissue disease is a systemic disorder characterised by obliterative small vessel vasculitis and a proliferation of connective tissue with fibrosis of multiple organs. Death can occur due to complications of hypertension, such as renal involvement, and cardiac involvement. Esophageal infiltration frequently causes dysphagia. This patient has the typical facial appearance of tight mouth with puckering of the lips and shiny skin.
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