Clinical assessment of skin thickening

The modified Rodnan skin score. Semiquantitative estimates by clinical palpation of the extent and severity of scleroderma skin change. The total skin surface is divided into 17 different areas, and in each of these areas the skin score is estimated by manual palpation. The total skin score is the sum of the skin scores of the individual areas.

Original figure modified for this publication. Bolster MB, Silver RM. Clinical features of systemic sclerosis. In: Hochberg MC, Silman AJ, Smolen JS, et al. Rheumatology, 5th ed, Mosby (Elsevier), Philadelphia 2010. Illustration used with the permission of Elsevier Inc. All rights reserved.

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