title: [Skin manifestation in systemic sclerosis].
abstract: OBJECTIVE
  To assess cutaneous manifestations in a population of patients with systemic sclerosis (SSc).
  
  
  METHODS
  The study population was constituted by 50 patients with a diagnosis of SSc, according to the classification criteria for SSc established by the American College of Rheumatology. According to the criteria proposed by LeRoy and cols., the disease was classified as diffuse SSc, or limited SSc, depending on the extent of skin involvement. Through history and physical exam the following variables were assessed: skin sclerosis, Raynaud's phenomenon, digital pitting scars, ischemic ulcers, telangiectasia, leucomelanoderma, microstomy, calcinosis and pruritus.
  
  
  RESULTS
  In the study population, 88% were women, with a mean age of 52.3+/-12.4 years. Limited SSc was the most frequent subset, being present in 70% of the evaluated patients. We found Raynaud's phenomenon in 100% of the patients, telangiectasia in 94%, leucomelanoderma in 38%, pruritus in 50%, calcinosis in 40%, microstomy in 62%, digital scars in 66% and ischemic ulcers in 58%. The modified Rodnan skin score values ranged from 3 to 32, with a median of 14, and percentile 25 of 9 and percentile 75 of 17.75.
  
  
  CONCLUSIONS
  Cutaneous manifestations are very common in ES, being responsible for important limitations on daily activities and stigmatization of patients.
authors: Professor mestre do Serviço de Reumatologia da Faculdade de Medicina de São José do Rio Preto-SP. glbertazzi@netsite.com.br
authors: Glauce Rejane Leonardi
authors: GR
authors: Bertazzi
authors: Roberto Acayaba
authors: RA
authors: de Toledo
authors: Moacir Fernandes
authors: MF
authors: de Godoy
authors: Geise Cristina
authors: GC
authors: Geraldino
authors: Gisele Cristine Dyonisio
authors: GC
authors: Fernandes
authors: Daniela Vichiato
authors: DV
authors: Polizelli
authors: Camila Lobo
authors: CL
authors: Pedroso
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000150:complications*; D012871:Skin Diseases / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult