18th January 2024

A 45-year-old patient with a past medical history of fibromyalgia is reviewed in clinic with severe Raynaud’s.

A 45-year-old patient with a past medical history of fibromyalgia is reviewed in clinic with severe Raynaud’s. You notice a ‘salt-and-pepper’ appearance of her facial skin.

Which of the following confers a poor prognosis of her most likely condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.