If the presence of CP or CAC score>28 were considered as subclinical atheromatosis disease (SAD), a total of 26 patients (60.5%) were diagnosed. We performed multivariate regression analysis, CIMTm, CIMTmax, low High Density Lipid (HDL), high erythrocyte sedimentation rate (ESR) and age were independent factors for the presence of SAD. Conclusions: SSc patients often have SAD which is misdiagnosed by CV risk charts. Plaque detection by carotid ultrasonography and CT CACscore are useful to

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... SAD. The optimal cut-off point of CACscore in this study is 28. SAD detection would be indicated in elderly, patients with low HDL or high ESR. The measure of CIMT could be useful in some cases.