Genetic analysis revealed multiple pathogenic variants of 14 genes, including SAMD9L, Ly96, REL, IRAK1, RBPJ, IL6ST, TNFAIP3, ITGA2B, ABCC2, AIRE, IL6R, JAZF1, IKZF3, and AFF3, in the group of SSc patients (Table 4). Here, AIRE is linked to systemic sclerosis.