A 49-Year-Old Woman Develops Thickened and Bound-Down Skin

A 49-year-old woman insidiously developed spotty depigmentation of the chest along with thickened and bound-down skin of the upper torso. In addition, all of her fingers were swollen and her facial skin became so tight that she had difficulty smiling. What is her diagnosis?
Source: Cancer Network - Category: Cancer & Oncology Source Type: news