Position article and guidelines 2018 recommendations of the Brazilian Society of Rheumatology for the indication, interpretation and performance of nailfold capillaroscopy

Adv Rheumatol. 2019 Jan 22;59(1):5. doi: 10.1186/s42358-018-0046-4.

Abstract

Nailfold capillaroscopy (NFC) is a reproducible, simple, low-cost, and safe imaging technique used for morphological analysis of nail bed capillaries. It is considered to be extremely useful for the investigation of Raynaud's phenomenon and for the early diagnosis of systemic sclerosis (SSc). The capillaroscopic pattern typically associated with SSc, scleroderma ("SD") pattern, is characterized by dilated capillaries, microhemorrhages, avascular areas and/or capillary loss, and distortion of the capillary architecture. The aim of these recommendations is to provide orientation regarding the relevance of NFC, and to establish a consensus on the indications, nomenclature, the interpretation of NFC findings and the technical equipments that should be used. These recommendations were formulated based on a systematic literature review of studies included in the database MEDLINE (PubMed) without any time restriction.

Keywords: Capillaroscopy; Raynaud’s phenomenon; Systemic sclerosis.

Publication types

  • Practice Guideline
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Arthritis, Rheumatoid / diagnostic imaging
  • Brazil
  • Capillaries / diagnostic imaging
  • Capillaries / pathology
  • Dermatomyositis / diagnostic imaging
  • Dermatomyositis / pathology
  • Early Diagnosis
  • Humans
  • Lupus Erythematosus, Systemic / diagnostic imaging
  • Lupus Erythematosus, Systemic / pathology
  • Microscopic Angioscopy / instrumentation
  • Microscopic Angioscopy / methods*
  • Microscopic Angioscopy / standards
  • Mixed Connective Tissue Disease / diagnostic imaging
  • Mixed Connective Tissue Disease / pathology
  • Raynaud Disease / diagnostic imaging
  • Raynaud Disease / pathology
  • Rheumatic Diseases / diagnostic imaging*
  • Rheumatic Diseases / pathology
  • Rheumatology
  • Scleroderma, Systemic / diagnostic imaging
  • Scleroderma, Systemic / pathology
  • Societies, Medical
  • Systemic Vasculitis / diagnostic imaging
  • Terminology as Topic