Capillaroscopie périunguéale : une évaluation simple et fiable de toute pathologie de la microcirculation

Jammal, M.; Kettaneh, A.; Cabané, J.; Tiev, KP; Tolédano, C.

doi:10.1016/j.revmed.2015.03.015

Cited by 5 publications

(11 citation statements)

References 54 publications

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“…The different abnormalities found in rheumatoid arthritis patients confirm the coexistence of microangiopathy in this disease [37]. In patients without rheumatoid vasculitis, it is frequent to find thin, long, and tortuous capillaries, with ingurgitated anarchic venous plexus and microhemorrhages [19]. These changes have no correlation with disease activity.…”

Section: Rheumatoid Arthritismentioning

confidence: 90%

“…NFC is commonly performed in nailfold cuticles, as the capillary loops become more parallel to the skin surface in this area and can be observed in their full length in the last row [2]. Usually, eight fingers are examined: the 2nd, 3rd, 4th, and 5th [1,19]. The thumbs are excluded because, in these fingers, capillaries are poorly observed and microtrauma is more frequent due to thumb's opponency.…”

Section: Capillaroscopy Proceduresmentioning

confidence: 99%

“…The patient should stay at least 20 minutes in a climatized room (20-22°C), to reduce RP attacks, and a clinical examination should be performed in his or her hands, in order to avoid traumatic injuries and to detect sclerodactyly, edema, pitting scars, active arthritis, skin lesions, onychophagia, or other possible changes [19,21]. As several physiological and external factors can affect NFC image quality, patients are asked to avoid cutting cuticle or even the nails in the previous week, prevent nail varnish removal, and avoid smoking or drinking caffeine-containing beverages in the preceding hours [7].…”

Section: Capillaroscopy Proceduresmentioning

confidence: 99%

“…In MCTD, different abnormalities can be found: minor changes, hemorrhages, dilated and giant capillaries, reduced density, and neoangiogenesis [19] (Figure 12). The patients can present with a scleroderma-like pattern, but less severe when compared to systemic sclerosis.…”

Section: Mixed Connective Tissue Disease (Mctd)mentioning

confidence: 99%

“…In patients with Sjögren syndrome (SSj), NFC can be normal in up to 59% of cases, if RP is absent [19]. The more frequent findings in this disease are tortuosities, crossings, and ingurgitated venous plexus (Figure 9).…”

Section: Sjögren Syndromementioning

confidence: 99%

See 4 more Smart Citations

The Impact of Nailfold Capillaroscopy in the Approach of Microcirculation

Bernardino¹,

Rodrigues²,

Lladò³

et al. 2020

Vascular Biology - Selection of Mechanisms and Clinical Applications

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Nailfold capillaroscopy (NFC) is a simple, validated, and noninvasive method to assess the microcirculation, through direct visualization of the capillaries. Main patterns are classified, according to Cutolo et al., as scleroderma, further divided into early, active, or late patterns, or nonscleroderma. NFC findings include dilated loops, tortuosities, meandering or bushy capillaries, hemorrhage, or architectural distortion. NFC use has been indicated for the evaluation of Raynaud's phenomenon (RP), once it permits the distinction between primary and secondary RP. NFC results accounts for diagnostic criteria of systemic sclerosis, but they can also be useful in staging other connective tissue autoimmune diseases, like systemic lupus erythematosus, inflammatory myositis, or vasculitis. The CSURI index uses NFC for prediction of digital ulcer relapse. Recent evidence revealed NFC can also be applied in systemic disorders with vascular involvement.

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Section: Rheumatoid Arthritismentioning

confidence: 90%

Section: Capillaroscopy Proceduresmentioning

confidence: 99%

Section: Capillaroscopy Proceduresmentioning

confidence: 99%

Section: Mixed Connective Tissue Disease (Mctd)mentioning

confidence: 99%

Section: Sjögren Syndromementioning

confidence: 99%

See 3 more Smart Citations

The Impact of Nailfold Capillaroscopy in the Approach of Microcirculation

Bernardino¹,

Rodrigues²,

Lladò³

et al. 2020

Vascular Biology - Selection of Mechanisms and Clinical Applications

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Effects of cardiac rehabilitation on in vivo nailfold microcirculation in patients with cardiovascular disease

Terashima,

Tamura,

Takahashi

et al. 2024

Heart Vessels

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Microcirculatory assessment of vascular diseases

Marcoccia

Klein-Weigel

Gschwandtner³

et al. 2020

Vasa

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Summary. The term “microcirculation” refers to the terminal vascular network of the body, which includes arterioles, capillaries, venules as well as initial lymphatic vessels. Additionally, it insinuates to their unique function in thermoregulation, fluid balance, maintenance of cellular exchange, and metabolism. Disturbances of microvascular function were identified to precede macrovascular involvement in the presence of cardiovascular risk factors and is the hallmark of terminal disease stages like critical limb or acral ischemia. Nevertheless, despite its obvious significance in vascular medicine assessment of microvascular function became increasingly neglected in the clinical institutions during the last decades and seems to play a subordinary role in medical education. We therefore provide an overview over relevant and clinically practicable methods to assess microcirculation in vascular medicine with critical estimations of their pros and cons and their perspectives in the future.

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Capillaroscopie périunguéale : une évaluation simple et fiable de toute pathologie de la microcirculation

Cited by 5 publications

References 54 publications

The Impact of Nailfold Capillaroscopy in the Approach of Microcirculation

The Impact of Nailfold Capillaroscopy in the Approach of Microcirculation

Effects of cardiac rehabilitation on in vivo nailfold microcirculation in patients with cardiovascular disease

Microcirculatory assessment of vascular diseases

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