Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India
Introduction: Nail fold dermoscopy is a noninvasive technique which aids in the diagnosis of systemic sclerosis. It also helps in predicting the extent and stage of microvascular damage. There are only a few studies describing the pattern of nail fold capillaries in systemic sclerosis in the Indian...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Current Medical Issues |
| Subjects: | |
| Online Access: | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=4;spage=215;epage=219;aulast=Kuryan |
| _version_ | 1828188095094194176 |
|---|---|
| author | Priya Sara Kuryan C V Dincy Peter Susanne Alexander Pulimood Leni George John Mathew |
| author_facet | Priya Sara Kuryan C V Dincy Peter Susanne Alexander Pulimood Leni George John Mathew |
| author_sort | Priya Sara Kuryan |
| collection | DOAJ |
| description | Introduction: Nail fold dermoscopy is a noninvasive technique which aids in the diagnosis of systemic sclerosis. It also helps in predicting the extent and stage of microvascular damage. There are only a few studies describing the pattern of nail fold capillaries in systemic sclerosis in the Indian population. Objectives: To study the patterns of nail fold capillaries using a hand-held dermoscope and to correlate these findings with cutaneous and systemic manifestations in patients with systemic sclerosis. Methods: Thirty-five patients were recruited in the study period between February 2014 and September 2015. All patients with systemic sclerosis were examined for cutaneous manifestations and dermoscopy of the nail fold capillaries was performed using Heine delta 20 dermoscope. Results: Our study had a female preponderance with the diffuse type of disease in 91% of patients. The most common abnormal nail fold dermoscopic pattern was dilated capillaries (91%). Scleroderma pattern was seen in 77% of our patients with the most common being active pattern. Early, active, and late type of the capillary pattern were associated with increased duration of disease but was not statistically significant. There was no significant association between capillary pattern and systemic manifestations. Conclusions: Majority (77%) of our patients had scleroderma patterns of which the active scleroderma pattern was the most common. There was no significant association between capillary pattern and systemic manifestations. |
| first_indexed | 2024-04-12T07:45:27Z |
| format | Article |
| id | doaj.art-146321272d2c40958b7b1fd1eaf2b4e0 |
| institution | Directory Open Access Journal |
| issn | 0973-4651 2666-4054 |
| language | English |
| last_indexed | 2024-04-12T07:45:27Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medical Issues |
| spelling | doaj.art-146321272d2c40958b7b1fd1eaf2b4e02022-12-22T03:41:43ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542022-01-0120421521910.4103/cmi.cmi_30_22Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South IndiaPriya Sara KuryanC V Dincy PeterSusanne Alexander PulimoodLeni GeorgeJohn MathewIntroduction: Nail fold dermoscopy is a noninvasive technique which aids in the diagnosis of systemic sclerosis. It also helps in predicting the extent and stage of microvascular damage. There are only a few studies describing the pattern of nail fold capillaries in systemic sclerosis in the Indian population. Objectives: To study the patterns of nail fold capillaries using a hand-held dermoscope and to correlate these findings with cutaneous and systemic manifestations in patients with systemic sclerosis. Methods: Thirty-five patients were recruited in the study period between February 2014 and September 2015. All patients with systemic sclerosis were examined for cutaneous manifestations and dermoscopy of the nail fold capillaries was performed using Heine delta 20 dermoscope. Results: Our study had a female preponderance with the diffuse type of disease in 91% of patients. The most common abnormal nail fold dermoscopic pattern was dilated capillaries (91%). Scleroderma pattern was seen in 77% of our patients with the most common being active pattern. Early, active, and late type of the capillary pattern were associated with increased duration of disease but was not statistically significant. There was no significant association between capillary pattern and systemic manifestations. Conclusions: Majority (77%) of our patients had scleroderma patterns of which the active scleroderma pattern was the most common. There was no significant association between capillary pattern and systemic manifestations.http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=4;spage=215;epage=219;aulast=Kuryancapillary hemorrhagedermoscopydilated capillariesdrop outscleroderma |
| spellingShingle | Priya Sara Kuryan C V Dincy Peter Susanne Alexander Pulimood Leni George John Mathew Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India Current Medical Issues capillary hemorrhage dermoscopy dilated capillaries drop out scleroderma |
| title | Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India |
| title_full | Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India |
| title_fullStr | Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India |
| title_full_unstemmed | Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India |
| title_short | Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India |
| title_sort | nail fold capillary patterns in patients with systemic sclerosis using a hand held dermoscope a prospective study from a tertiary center in south india |
| topic | capillary hemorrhage dermoscopy dilated capillaries drop out scleroderma |
| url | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=4;spage=215;epage=219;aulast=Kuryan |
| work_keys_str_mv | AT priyasarakuryan nailfoldcapillarypatternsinpatientswithsystemicsclerosisusingahandhelddermoscopeaprospectivestudyfromatertiarycenterinsouthindia AT cvdincypeter nailfoldcapillarypatternsinpatientswithsystemicsclerosisusingahandhelddermoscopeaprospectivestudyfromatertiarycenterinsouthindia AT susannealexanderpulimood nailfoldcapillarypatternsinpatientswithsystemicsclerosisusingahandhelddermoscopeaprospectivestudyfromatertiarycenterinsouthindia AT lenigeorge nailfoldcapillarypatternsinpatientswithsystemicsclerosisusingahandhelddermoscopeaprospectivestudyfromatertiarycenterinsouthindia AT johnmathew nailfoldcapillarypatternsinpatientswithsystemicsclerosisusingahandhelddermoscopeaprospectivestudyfromatertiarycenterinsouthindia |