### Patient: Doctor, I have these strange skin lesions on my hands and arms, and my skin has been really dry and scaly lately. My lips are also swollen and I have this weird growth on my skin. What could be wrong with me?
### Doctor: Based on your symptoms, you may have a condition called Scleroderma. It's a rare autoimmune disease that can cause abnormalities in the skin, such as dryness, peeling, roughness, and growths. The lip swelling is also a common symptom. I will order some tests to confirm the diagnosis and create a treatment plan to help manage your symptoms.