This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'In late stages of systemic sclerosis may have all the given features, EXCEPT: \nSelect and explain. \nA. Pulmonary aery hypeension, B. Interstitial lung diserase, C. Primary biliary cirrhosis, D. Primary sclerosing cholangitis', 'role': 'user'}, {'content': "Answer: D \nExplanation: Late stages of limited systemic sclerosis patients may develop Pulmonary aerial hypeension (PAH), Interstitial lung disease, Hypothyroidism, Primary biliary cirrhosis Raynaud's phenomenon and other typical features of systemic sclerosis occur in the absence of detectable skin thickening in some patients. This syndrome is been termed SSc sine scleroderma. Ref: Harrison, E-18, P- 2757.", 'role': 'assistant'}]