ISSN 2147-9720 | E-ISSN 2148-4279
Skin imaging in systemic sclerosis
1 Department of Rheumatology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea  
2 Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, United Kingdom; NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom  
Eur J Rheumatol 2014; 1: 111-116
DOI: 10.5152/eurjrheumatol.2014.036
Key Words: Imaging, systemic sclerosis, ultrasound, magnetic resonance imaging, optical coherence tomography, skin fibrosis

Fibrotic involvement of the skin is a cardinal feature of systemic sclerosis (SSc). The extent of skin involvement is associated with internal organ involvement, coinciding with more severe disease course and poor prognosis. A palpation-based semi-quantitative score, the modified Rodnan skin score, is widely used for the assessment of skin involvement, but it is entailed by significant limitations. More objective approaches to measure skin involvement employing imaging have been explored continuously in the past decades and are currently advancing. Here, we review the use of different imaging techniques for the assessment of skin involvement in patients with SSc, focusing mainly on ultrasound, magnetic resonance imaging, and optical coherence tomography. 


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