Nailfold capillaroscopy

IF 4.5 2区医学 Q1 RHEUMATOLOGY Best Practice & Research in Clinical Rheumatology Pub Date : 2023-03-01 DOI:10.1016/j.berh.2023.101849

Vanessa Smith , Claudia Ickinger , Elvis Hysa , Marcus Snow , Tracy Frech , Alberto Sulli , Maurizio Cutolo

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引用次数: 2

Abstract

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.

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甲襞毛细血管镜检查

甲床毛细血管镜检查是一种安全、成熟的评估微循环结构变化的方法。它是检查和监测雷诺现象患者的重要工具。在毛细血管镜检查中发现特征性的 "硬皮病模式 "可能预示着潜在的风湿性疾病，尤其是系统性硬化症（SSc）。在此，我们将重点介绍视频毛细血管镜检查的实际操作，包括图像采集和分析，并提及皮肤镜检查。特别强调了描述毛细血管特征的术语的标准化使用。使用经过验证的欧洲风湿病学协会联盟（EULAR）研究小组共识报告框架对图像进行系统评估，以辨别正常与异常，这一点至关重要。除了毛细血管镜在 SSc（极早期）诊断中的相关性外，它对新器官受累和疾病进展的新兴预测价值（尤其是毛细血管缺失）也得到了强调。我们还进一步提供了部分其他风湿性疾病的毛细血管镜检查结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research in Clinical Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

0.00%

发文量

审稿时长

27 days

期刊介绍： Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.