PT - JOURNAL ARTICLE AU - Hanlin Yin AU - Liangjing Lu TI - New-Onset Salt-and-Pepper Skin Changes Associated With Vaccination and Trauma in Systemic Sclerosis: Immunity Matters AID - 10.3899/jrheum.220553 DP - 2022 Aug 15 TA - The Journal of Rheumatology PG - jrheum.220553 4099 - http://www.jrheum.org/content/early/2022/08/09/jrheum.220553.short 4100 - http://www.jrheum.org/content/early/2022/08/09/jrheum.220553.full AB - In the recent issue ofThe Journal of Rheumatology, Chung et al1 reported the associations of perifollicular hypopigmentation with disease subtypes and organ involvement in a systemic sclerosis (SSc) cohort in the United States. Perifollicular hypopigmentation, also termed salt-and-pepper appearance, is a typical manifestation in SSc.