The criteria for diagnosis of systemic sclerosis is devised by American College of Rheumatology and European League Against Rheumatism (EULAR). A number of clinical and laboratory findings are scored. Score of 9 or greater than 9 indicates systemic sclerosis. The criteria for diagnosis of systemic sclerosis includes: - Thickened skin of hands near metacarpophalangeal joint - Generalized thickening of fingers - Digital tip ulcers - Pitting scars on fingertips - Abnormal nailfold capillaries - Pulmonary hypertension - Interstitial lung disease - Telangiectasia - Positive anticentromere, anti-topoisomerase I, and anti-RNA polymerase antibodies - Raynaud phenomena Reference: https://www.medscape.com/answers/331864-163569/what-are-the-acreular-revised-systemic-sclerosis-classification-criteria Image via: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30933-9/fulltext