Table 3:
ACR Diagnostic Criteria for Systemic Scleroderma
Major Criteria
Minor Criteria*
Proximal sclerodermatous skin changes (proximal to the metacarpophalangeal joints) Sclerodactyly
Digital pitting scars of fingertips or loss of substance of the distal finger pad
Bibasilar pulmonary fibrosis
* The patient should fulfill the major criterion or two of the three minor criteria
Adapted from reference 10.
Copyright 2004 The Cleveland Clinic Foundation

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