Standardisation of nailfold capillaroscopy for the assessment of patients with Raynaud's phenomenon and systemic sclerosis
Publication date
2020-03
Authors
Smith, Vanessa
Herrick, Ariane L
Ingegnoli, Francesca
Damjanov, Nemanja
De Angelis, Rossella
Denton, Christopher P
Distler, Oliver
Espejo, Karinna
Foeldvari, Ivan
Frech, Tracy
Editors
Advisors
Supervisors
Document Type
Article
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cc_by_nc_nd
Abstract
Capillaroscopy is a non-invasive and safe tool which allows the evaluation of the morphology of the microcirculation. Since its recent incorporation in the 2013 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria for systemic sclerosis together with its assessed role to monitor disease progression, capillaroscopy became a 'mainstream' investigation for rheumatologists. Given its increasing use by a variety of physicians internationally both in daily practice to differentiate primary from secondary Raynaud's phenomenon, as well as in research context to predict disease progression and monitor treatment effects, standardisation in capillaroscopic image acquisition and analysis seems paramount. To step forward to this need, experts in the field of capillaroscopy/microcirculation provide in this very consensus paper their view on image acquisition and analysis, different capillaroscopic techniques, normal and abnormal capillaroscopic characteristics and their meaning, scoring systems and reliability of image acquisition and interpretation.
Keywords
Humans, Microscopic Angioscopy, Nails/blood supply, Raynaud Disease/diagnosis, Reproducibility of Results, Scleroderma, Systemic/diagnosis, Immunology and Allergy, Immunology, Review, Journal Article
Citation
Smith, V, Herrick, A L, Ingegnoli, F, Damjanov, N, De Angelis, R, Denton, C P, Distler, O, Espejo, K, Foeldvari, I, Frech, T, Garro, B, Gutierrez, M, Gyger, G, Hachulla, E, Hesselstrand, R, Iagnocco, A, Kayser, C, Melsens, K, Müller-Ladner, U, Paolino, S, Pizzorni, C, Radic, M, Riccieri, V, Snow, M, Stevens, W, Sulli, A, van Laar, J M, Vonk, M C, Vanhaecke, A, Cutolo, M & EULAR Study Group on Microcirculation in Rheumatic Diseases and the Scleroderma Clinical Trials Consortium Group on Capillaroscopy 2020, 'Standardisation of nailfold capillaroscopy for the assessment of patients with Raynaud's phenomenon and systemic sclerosis', Autoimmunity Reviews, vol. 19, no. 3, 102458, pp. 1-14. https://doi.org/10.1016/j.autrev.2020.102458