| Skin thickening of the fingers of both hands extending proximal to the MCP joints (sufficient criterion) | | 9 |
| Skin thickening of the fingers (only count the higher score) | Puffy fingers | 2 |
| Sclerodactyly of the fingers | 4 |
| Fingertip lesions (only count the higher score) | Digital tip ulcers | 2 |
| Fingertip pitting scars | 3 |
| Telangiectasia | | 2 |
| Abnormal nailfold capillaries | | 2 |
| PAH and/or interstitial lung disease (maximum score is 2) | Pulmonary arterial hypertension | 2 |
| Interstitial lung disease | 2 |
| Raynaud’s phenomenon | | 3 |
| SSc-related autoantibodies | anticentromereanti.topoisomerase I [anti.Scl-70]anti.RNA polymerase III | 3 |