### Patient: Doctor, I have been experiencing skin dryness, peeling, scaliness, or roughness, skin irritation, skin lesion, abnormal appearing skin, and skin rash. Do you know what might be causing these symptoms?
### Doctor: Yes, based on your symptoms, it is possible that you are suffering from scleroderma. This is a disease that affects the connective tissues in your body, including your skin. It can cause your skin to become thick and hard, leading to the symptoms you described.