PT - JOURNAL ARTICLE AU - Antonella Riccardi AU - Antonella Marcoccia AU - Gabrielle Valentini TI - The Challenge of Very Early Systemic Sclerosis AID - 10.3899/jrheum.200345 DP - 2020 Jul 15 TA - The Journal of Rheumatology PG - jrheum.200345 4099 - http://www.jrheum.org/content/early/2020/07/09/jrheum.200345.short 4100 - http://www.jrheum.org/content/early/2020/07/09/jrheum.200345.full AB - We read with great interest the article by Blaja, et al1 on the challenge of very early systemic sclerosis (SSc). We have been addressing this topic for some years. Actually, VEDOSS (very early diagnosis of systemic sclerosis)2, subsequently renamed very early SSc3, was proposed before the development of the 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria4.