The predictive value and reproducibility of the capillaroscopic skin ulcer risk index (CSURI)—a tool designed in 2009 for predicting the development of digital ulcers in patients with systemic sclerosis (SSc)—has been validated in a large group of unselected patients with SSc. CSURI predicted the occurrence of digital ulcers within the following 3 months with a specificity of 81.4% and a sensitivity of 93.0%.