Abstract
Photomicrographs were taken of front line nailfold capillary loops in 18 healthy women (controls) and 42 women with established connective tissue disease (14 rheumatoid arthritis, 19 systemic lupus erythematosus, nine scleroderma). Measurements were made of apex width, maximum limb and loop widths, capillary length, interpeak distance, and frequency per linear millimetre. A numerical index for assessing capillary dilatation was derived, based on the mean of the apex plus maximum limb widths. Results show considerable overlap in subject means. Statistical analysis showed no difference between rheumatoid arthritis and control groups. Patients with systemic lupus erythematosus had slightly larger loops at a lower frequency (not statistically significant); three patients with an abnormal capillary index also had high titres of ribonucleoprotein antibody. Six scleroderma patients had abnormal indices, two of whom had high titre ribonucleoprotein antibody. No relation between capillary morphology and clinical features was found.
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- Bollinger A., Jäger K., Roten A., Timeus C., Mahler F. Diffusion, pericapillary distribution and clearance of Na-fluorescein in the human nailfold. Pflugers Arch. 1979 Nov;382(2):137–143. doi: 10.1007/BF00584215. [DOI] [PubMed] [Google Scholar]
- Buchanan I. S., Humpston D. J. Nail-fold capillaries in connective-tissue disorders. Lancet. 1968 Apr 20;1(7547):845–847. doi: 10.1016/s0140-6736(68)90302-4. [DOI] [PubMed] [Google Scholar]
- Edwards J. C., Snaith M. L. Microvascular filtration in subjects with connective tissue disorders. Ann Rheum Dis. 1984 Aug;43(4):576–580. doi: 10.1136/ard.43.4.576. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kenik J. G., Maricq H. R., Bole G. G. Blind evaluation of the diagnostic specificity of nailfold capillary microscopy in the connective tissue diseases. Arthritis Rheum. 1981 Jul;24(7):885–891. doi: 10.1002/art.1780240704. [DOI] [PubMed] [Google Scholar]
- Lee P., Leung F. Y., Alderdice C., Armstrong S. K. Nailfold capillary microscopy in the connective tissue diseases: a semiquantitative assessment. J Rheumatol. 1983 Dec;10(6):930–938. [PubMed] [Google Scholar]
- Lovy M., MacCarter D., Steigerwald J. C. Relationship between nailfold capillary abnormalities and organ involvement in systemic sclerosis. Arthritis Rheum. 1985 May;28(5):496–501. doi: 10.1002/art.1780280505. [DOI] [PubMed] [Google Scholar]
- Maricq H. R., LeRoy E. C., D'Angelo W. A., Medsger T. A., Jr, Rodnan G. P., Sharp G. C., Wolfe J. F. Diagnostic potential of in vivo capillary microscopy in scleroderma and related disorders. Arthritis Rheum. 1980 Feb;23(2):183–189. doi: 10.1002/art.1780230208. [DOI] [PubMed] [Google Scholar]
- Maricq H. R., Maize J. C. Nailfold capillary abnormalities. Clin Rheum Dis. 1982 Aug;8(2):455–478. [PubMed] [Google Scholar]
- Maricq H. R. Nailfold biopsy in scleroderma and related disorders. Dermatologica. 1984;168(2):73–77. doi: 10.1159/000249671. [DOI] [PubMed] [Google Scholar]
- Maricq H. R. Wide-field capillary microscopy. Arthritis Rheum. 1981 Sep;24(9):1159–1165. doi: 10.1002/art.1780240907. [DOI] [PubMed] [Google Scholar]
- Marks J., Birkett D. A., Shuster S. "Capillary permeability" in patients with collagen vascular diseases. Br Med J. 1972 Mar 25;1(5803):782–784. doi: 10.1136/bmj.1.5803.782. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Redisch W., Messina E. J., Hughes G., McEwen C. Capillaroscopic observations in rheumatic diseases. Ann Rheum Dis. 1970 May;29(3):244–253. doi: 10.1136/ard.29.3.244. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rouen L. R., Terry E. N., Doft B. H., Clauss R. H., Redisch W. Classification and measurement of surface microvessels in man. Microvasc Res. 1972 Jul;4(3):285–292. doi: 10.1016/0026-2862(72)90040-4. [DOI] [PubMed] [Google Scholar]
- Schumacher H. R., Ligot P. N., Barry P. E. Conjunctival and nailfold microcirculation in patients with rheumatoid arthritis and normal subjects. Acta Rheumatol Scand. 1968;14(4):253–264. doi: 10.3109/rhe1.1968.14.issue-1-4.28. [DOI] [PubMed] [Google Scholar]
- Vayssairat M., Priollet P., Goldberg J., Housset E. Nailfold capillary microscopy as a diagnostic tool and in followup examination. Arthritis Rheum. 1982 May;25(5):597–598. doi: 10.1002/art.1780250520. [DOI] [PubMed] [Google Scholar]
- Zaric D., Worm A. M., Stahl D., Clemmensen O. J. Capillary microscopy of the nailfold in psoriatic and rheumatoid arthritis. Scand J Rheumatol. 1981;10(3):249–252. doi: 10.3109/03009748109095307. [DOI] [PubMed] [Google Scholar]