Shown are peripheral-blood mononuclear cells analyzed by means of
single-cell RNA sequencing (Panel A), plotted in uniform manifold approximation
and projection (UMAP) space and clustered for each of the control and patient
samples. NKT cells denote natural killer T cells, and Tregs regulatory T cells.
Photographs show waxy, erythematous nodular lesions on bilateral hands and feet
before (Panel B) and after (Panel C) initiation of ruxolitinib therapy. Shown
are clinical scores (Panel D) on the modified Localized Scleroderma Skin
Severity Index (mLoSSI, red) and the Physician Global Assessment (PGA, blue) of
disease activity. Scores on both scales range from 0 to 100, with higher scores
indicating greater disease activity.