Table 1. Merz Hand Grading Scale.

This Merz Hand Grading Scale is a publicly available and validated scale to grade dorsal hand appearance. This table was created by the authors and not copied from any specific source. Sources used to compile this table have been cited.

Source: [9-11]

Grade	Description
0	No loss of fatty tissue
1	Mild loss of fatty tissue; slight visibility of veins
2	Moderate loss of fatty tissue; mild visibility of veins and tendons
3	Severe loss of fatty tissue; moderate visibility of veins and tendons
4	Very severe loss of fatty tissue; marked visibility of veins and tendons