Table 1

 Preliminary clinical criteria for systemic sclerosis (scleroderma)*15

One major or two minor criteria are required for confirmation of the presence of scleroderma.
*ARA Scleroderma Criteria Cooperative Study (SCCS).
Major criterionProximal scleroderma: skin changes characterised by tightness, thickening, and non-pitting induration, proximal to the metacarpophalangeal or metatarsophalangeal joints, affecting other parts of the extremities, face, neck or trunk (thorax or abdomen), usually bilateral and almost always including sclerodactyly
Minor criteriaSclerodactyly
Digital pitting scars of fingertips or loss of substance of the distal finger pad
Bibasilar pulmonary fibrosis