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In SSc clients with normal RSS values, the elastographic strain ended up being somewhat greater than in healthier settings. Elastographic strain of hands' skin evaluated in SWE is highly precise for distinguishing SSc patients (sensitiveness 0.897-0.923, specificity 0.929-0.964, positive predictive worth 0.946-0.973, negative predictive value 0.867-0.90. ESW results are significantly more reproducible than those of RSS examination (intraclass correlation coe