Nailfold capillaroscopy

被引：42

作者：

Smith, Vanessa ^{[1
,2
,3
]}

Ickinger, Claudia ^{[4
]}

Hysa, Elvis ^{[5
,6
]}

Snow, Marcus ^{[7
]}

Frech, Tracy ^{[8
,9
]}

Sulli, Alberto ^{[5
]}

Cutolo, Maurizio ^{[5
,6
]}

机构：

[1] Univ Ghent, Dept Internal Med, Ghent, Belgium

[2] Ghent Univ Hosp, Dept Rheumatol, Ghent, Belgium

[3] VIB, Inflammat Res Ctr IRC, Unit Mol Immunol & Inflammat, Ghent, Belgium

[4] Univ Witwatersrand, Chris Hani Baragwanath Acad Hosp, Fac Hlth Sci, Div Rheumatol, Johannesburg, South Africa

[5] Univ Genoa, IRCCS San Martino Polyclin, Dept Internal Med, Lab Expt Rheumatol, Genoa, Italy

[6] Univ Genoa, IRCCS San Martino Polyclin, Dept Internal Med, Acad Div Clin Rheumatol, Genoa, Italy

[7] Univ Nebraska Med Ctr, Dept Internal Med, Div Rheumatol, Omaha, NE USA

[8] Vanderbilt Univ, Med Ctr, Internal Med, Nashville, TN USA

[9] Tennessee Valley Healthcare Syst, Nashville, TN USA

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2023年 / 37卷 / 01期

关键词：

Nailfold capillaroscopy; Raynaud's phenomenon; Scleroderma pattern; Systemic sclerosis; Connective tissue diseases; EULAR study group on microcirculation in; rheumatic diseases; CONNECTIVE-TISSUE DISEASE; PULMONARY ARTERIAL-HYPERTENSION; EULAR SCLERODERMA TRIALS; SYSTEMIC-SCLEROSIS; SJOGRENS-SYNDROME; RAYNAUDS-PHENOMENON; DIGITAL ULCERS; VIDEOCAPILLAROSCOPY ASSESSMENT; MICROVASCULAR DAMAGE; ORGAN INVOLVEMENT;

D O I：

10.1016/j.berh.2023.101849

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nailfold capillaroscopy is a safe and well-established method for the assessment of structural alterations of the microcirculation. It is a crucial tool in the investigation and monitoring of patients presenting with Raynaud's phenomenon. Detection of the characteristic "scleroderma pattern" on capillaroscopy may indicate an underlying rheumatic disease, particularly systemic sclerosis (SSc). Herein, we highlight the practical aspects of videocapillaroscopy, including image acquisition and analysis, with mention of dermoscopy. Special emphasis is placed on standardized use of terminology to describe capillary characteristics. Systematic evaluation of images in discerning the normal from the abnormal using the validated European Alliance of Associations for Rheumatology (EULAR) Study Group consensus reporting framework is paramount. In addition to the relevance of capillaroscopy in the (very) early diagnosis of SSc, its emerging predictive value (especially capillary loss) for new organ involvement and disease progression is underscored. We further provide capillaroscopic findings in selected other rheumatic diseases. (c) 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).

引用

页数：32