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. 2020 Mar 9;11(2):135–145. doi: 10.4103/idoj.IDOJ_284_19

Text box 2.

Assessment of activity of skin lesions

Clinical features: Appearance of new lesions, extension of existing plaques, warmth, lilac borders, skin induration and edema
LoSCAT, Physician's global assessment
Ultrasound (20 MHz)
Skin Biopsy
Clinical inactivity:
No erythema, no new or enlarging lesions in the last 3 months, no change in thickness, no worsening of joint contractures, PGA. Visual analog scale of 0, no active extracutaneous features
Assessment of extracutaneous involvement
Skeletal X rays- linear scleroderma involving limbs, special attention to the affected joints
Lesions affecting scalp and face
MRI brain
Ophthalmic evaluation
Orthodontist/maxillofacial surgeon
Focused systemic evaluation in patients with pansclerotic morphea