Which Information Should the Nurse Include When Teaching a Patient

Which information should the nurse include when teaching a patient information regarding limited systemic scleroderma? Select all that apply.

A) A rapid onset is anticipated.
B) An insidious onset is anticipated.
C) It affects internal organs several years before onset.
D) It can be preceded by a diagnosis of Raynaud's phenomenon.
E) Skin of extremities distal to the elbows and knees are affected.