What is the most appropriate diagnosis?

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45 year’s female looking pale has bluish discoloration of hands whenever she goes out in the cold. She has reddish spots on her body. She has symmetrical peripheral arthroplasty for the last year.

What is the most appropriate diagnosis?
A . Limited systemic sclerosis
B . Osteosarcoma
C . Chondrosarcoms
D . Diffuse systemic sclerosis
E . RA

Answer: A