Kahaleh Skin Score in Scleroderma

Purpose: To evaluate a patient with scleroderma using the skin score of Kahaleh et al.

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Evaluation

Are you evaluating a patient with scleroderma?

Yes

Select appropriate option to indicate the most affected site in each area

Face and head

Neck to clavicles

Anterior chest and breasts

Abdomen and flanks

Back

Buttocks

Left upper arm

Right upper arm

Left forearm

Right forearm

Left wrist to MCP joints

Right wrist to MCP joints

Left MCP to PIP joints

Right MCP to PIP joints

Left PIP joints to fingernails

Right PIP joints to fingernails

Left thigh

Right thigh

Left lower leg

Right lower leg

Left foot

Right foot

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Skin score

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Scleroderma Risk Model for 5 Year Survival
Clinical Diagnosis, Including Family History For Genetics
- ARA Scleroderma Criteria Cooperative Study Preliminary Clinical Criteria for Systemic Sclerosis
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags

Therapy

Physical And Lifestyle
- Drug Induced Scleroderma

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- Prognostic Factors for Patient with Juvenile Systemic Sclerosis
- Lung Severity Scale of Medsger for Patient with Systemic Sclerosis

Patient Concerns

End-of-life, Palliative Care
- Scleroderma Risk Model for 5 Year Survival

Specialty

Immunology/Rheumatology

Objective

laboratory tests
severity
prognosis
stage
response to therapy
disease progression

ICD-10

M34 - Systemic sclerosis

Info

Purpose: To evaluate a patient with scleroderma using the skin score of Kahaleh et al.

Specialty: Immunology/Rheumatology

Objective: laboratory tests, severity, prognosis, stage, response to therapy, disease progression

ICD-10: M34,

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