Dark, shiny skin on distal phalanges of both hands in systemic sclerosis. Photo by Maria Sieglinda von Nudeldorf via Wikimedia Commons Researchers have developed and tested a camera-based technique to objectively assess skin changes in systemic sclerosis. In a paper published in The Lancet Rheumatology, the authors note that for more than 50 years, physicians have relied on manually pinching the skin to assess its thickness. This subjective approach remains central to diagnos