A patient presents with extremely tight,shiny skin over the hands and face.There is also a lack of nasolabial folds and blank facial expression.This is a common sign of:

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The presentation of extremely tight, shiny skin over the hands and face, lack of nasolabial folds and facial expression is a classic presentation of scleroderma, an autoimmune condition that causes thickening and hardening of the skin and connective tissues. Bell's palsy refers to facial paralysis, trigeminal neuralgia is a painful condition affecting the trigeminal nerve, and hypothyroid myxedema presents with puffiness and swelling of the face and hands due to accumulation of mucopolysaccharides.

A Patient Presents with Extremely Tight,shiny Skin Over the Hands