Background: Nailfold video capillaroscopy (NVC) enables us a direct view of the microvasculature. Only several capillaroscopy studies in adult patients with vasculitis have been reported. Aim: To characterize NVC changes in vasculitis. Methods: Vasculitis patients and healthy controls were evaluated by NVC. NVC changes associated with vasculitis were assessed retrospectively in a cohort of 100 patients with Raynaud's phenomenon (RP). Results: 17 patients with active vasculitis and 8 patients with vasculitis in remission were compared to 25 age and sex-matched healthy controls. Active vasculitis patients demonstrated higher rates of neoangiogenesis and capillary loss in comparison to other groups. Two novel NVC abnormalities were observed in patients with vasculitis: "Rolling" (slow capillary flow) and "peri-capillary stippling" (PCS), small deposits that may represent capillary leak. PCS was observed exclusively in 5 of 17 patients with active vasculitis. Retrospectively, we were able to detect PCS also in 14 % of 100 patients that were evaluated for RP, of whom 64 % were diagnosed with scleroderma or a related disorder. Conclusions: Patients with active vasculitis demonstrate frequent capillary abnormalities. Although these ab-normalities are non-specific, we suggest that their combination may aid the diagnosis of vasculitis. Future studies are needed to validate our findings.
Nailfold video capillaroscopy as a useful diagnostic tool in systemic vasculitis / S. Keret, J. Mazzawi, G. Slobodin, O. Rimar, I. Rosner, M. Rozenbaum, L. Kaly, N. Boulman, A. Awisat, A. Shouval, F. Ingegnoli, D. Rimar. - In: MICROVASCULAR RESEARCH. - ISSN 0026-2862. - 143:(2022 Sep), pp. 104406.1-104406.5. [10.1016/j.mvr.2022.104406]
Nailfold video capillaroscopy as a useful diagnostic tool in systemic vasculitis
F. IngegnoliPenultimo
;
2022
Abstract
Background: Nailfold video capillaroscopy (NVC) enables us a direct view of the microvasculature. Only several capillaroscopy studies in adult patients with vasculitis have been reported. Aim: To characterize NVC changes in vasculitis. Methods: Vasculitis patients and healthy controls were evaluated by NVC. NVC changes associated with vasculitis were assessed retrospectively in a cohort of 100 patients with Raynaud's phenomenon (RP). Results: 17 patients with active vasculitis and 8 patients with vasculitis in remission were compared to 25 age and sex-matched healthy controls. Active vasculitis patients demonstrated higher rates of neoangiogenesis and capillary loss in comparison to other groups. Two novel NVC abnormalities were observed in patients with vasculitis: "Rolling" (slow capillary flow) and "peri-capillary stippling" (PCS), small deposits that may represent capillary leak. PCS was observed exclusively in 5 of 17 patients with active vasculitis. Retrospectively, we were able to detect PCS also in 14 % of 100 patients that were evaluated for RP, of whom 64 % were diagnosed with scleroderma or a related disorder. Conclusions: Patients with active vasculitis demonstrate frequent capillary abnormalities. Although these ab-normalities are non-specific, we suggest that their combination may aid the diagnosis of vasculitis. Future studies are needed to validate our findings.File | Dimensione | Formato | |
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