INTRODUCTION Systemic sclerosis (SSc) is an autoimmune disease characterized by inflammation, vasculopathy, and fibrosis of the skin and internal organs.1 Juvenile SSc (jSSc) represents approximately 10% of all SSc cases.2 A unique entity, patients with jSSc demonstrate a higher frequency (10%–39%) of overlapping features with other connective tissue diseases (CTDs; overlap subtype), including myositis and arthritis, when compared to adults (9%–18%).3-6 Of note, patients with jSSc also...