Rheumatology MCQ for NEET PG & FMGE

A 40-year-old woman presents with swelling and pain in both fingers for 3 years, accompanied by Raynaud's phenomenon. Examination reveals claw-like deformity of the fingers and skin thickening and hardening. Laboratory tests show antinuclear antibody (ANA) positive and anti-Scl-70 antibody positive. The most likely diagnosis is:

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