A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?

A. Swelling around the eyes is typically associated with conditions such as kidney disease, allergic reactions, or hypothyroidism. It is not a hallmark feature of scleroderma, which primarily affects the skin, blood vessels, and internal organs through fibrosis. B. In scleroderma, the fibrosis can involve salivary glands, leading to xerostomia (dry mouth) rather than increased salivation. This contributes to dental issues and difficulty swallowing (dysphagia). C. While some autoimmune conditions cause rashes (e.g., lupus, dermatomyositis), scleroderma is characterized by skin thickening and hardening, not simply a dry or raised rash. D. Scleroderma, or systemic sclerosis, is an autoimmune connective tissue disorder in which collagen is overproduced, causing fibrosis and thickening of the skin. This can lead to tight, shiny, and immobile skin, especially on the fingers, hands, and face. The skin changes often begin with swelling and stiffness, then progress to hardening. In addition to skin involvement, scleroderma can affect blood vessels, the gastrointestinal tract, lungs, and kidneys, so skin findings may be an early indicator of systemic involvement.