Difficulties in systemic sclerosis diagnosis on the example of clinical case

A clinical case of middle-age female patient diagnosed with systemic sclerosis with lesions of skin, joints, vessels, gastrointestinal and respiratory systems. The disease manifested with Raynaud phenomenon, due to this patient was consulted by different specialists but the diagnosis of systemic sclerosis was made 5 years after its onset. This clinical case illustrates the features of the clinical course of systemic sclerosis and difficulties in timely diagnosis of this disease.