Table 2

Key differences between NIH and VSS

VSSNIH
10 body areas 8 body areas (rule of 9's) 
Hands are separate Hands are part of arms 
Anterior torso is split into chest and abdomen Anterior torso is not split 
Abdomen includes genitals Genitals are separate 
Erythema is always red Erythematous rashes are not always red 
Only erythema associated with sclerosis is scored 2 grades of sclerosis rather than 3 
Hyperpigmentation is considered Hyperpigmentation or vitiligo is not scored 
VSSNIH
10 body areas 8 body areas (rule of 9's) 
Hands are separate Hands are part of arms 
Anterior torso is split into chest and abdomen Anterior torso is not split 
Abdomen includes genitals Genitals are separate 
Erythema is always red Erythematous rashes are not always red 
Only erythema associated with sclerosis is scored 2 grades of sclerosis rather than 3 
Hyperpigmentation is considered Hyperpigmentation or vitiligo is not scored 

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