Systemic sclerosis (SSc) is an autoimmune disease characterized by microcirculation dysfunction, autoantibodies production, progressive skin and multiorgan fibrosis with potentially life-threatening complications [1]. Malnutrition contributes to disease severity and its pathogenesis is multifactorial. Mood disturbances, interstitial lung disease (ILD), poor functional status due to digital ulcers, reduced appetite, dysphagia, early satiety, microstomia, nausea, or other gastrointestinal disturbances, all play an important role in the decline of nutritional status [2].
