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

Advances in Rheumatology - Tập 59 - Trang 1-13 - 2019
Cristiane Kayser1, Markus Bredemeier2, Maria Teresa Caleiro3, Karina Capobianco4, Tatiana Melo Fernandes5, Sheila Márcia de Araújo Fontenele6, Eutilia Freire7, Lilian Lonzetti8, Renata Miossi3, Juliana Sekiyama9, Carolina de Souza Müller10
1Rheumatology Division, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
2Rheumatology Service, Hospital Nossa Senhora da Conceição − Grupo Hospitalar Conceição, Porto Alegre, Brazil
3Rheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil
4Rheumatology Service, Moinhos de Vento Hospital, Porto Alegre, Brazil
5Rheumatology Division, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
6Departament of Medicine, Universidade Estadual do Ceará, Fortaleza, Brazil
7Rheumatology Service, Universidade Federal da Paraíba, João Pessoa, Brazil
8Rheumatology Service, Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
9Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
10Rheumatology Division, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, Brazil

Tóm tắt

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.

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