QOD-1

Answer:

D.  Stiff, tight skin that is lighter or darker than surrounding skin

Rationale:

Scleroderma is an autoimmune disorder that can impact different parts of the body. Certain types of scleroderma may cause breathing difficulties; however, the condition can also cause skin changes that affect the patients movement. The patient with scleroderma is most likely to suffer skin changes such as stiff or tight skin that may be lighter or darker when compared to surrounding skin, ulcers on the fingertips, and small bumps under the surface of the skin.