@j77 I was diagnosed with systemic scleraderma during covid. I have Sjogrens and Raynauds phenomenon, but my scleraderma has mostly been dormant. Scleraderma is a rare autoimmune disease, it effects your skin and in my case the heart, the lungs, digestive system and kidneys. Its connective tissue disease. It will evitually harden the connective tissue around my organs. My Sjogrens isn't too bad yet. Just dry eyes and mouth. I do have trouble swallowing sometimes. My main concern will be the scleraderma if and when it decides to come out. I have Sjogrens and Raynauds phenomenon. When I was tested scleraderma showed right up. My rheumatologist had no trouble diagnosing my scleraderma and she told me you usually have a couple other autoimmune diseases is you have one.