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Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis

ABSTRACT: Background: Early inflammatory arthritis (EIA) a condition defined by joint swelling, with or without morning stiffness, and/or swelling of metacarpophalangeal and/or metatarsophalangeal joints. Nail fold video-capillaroscopy (NVC) is important for the evaluation of microcirculation in viv...

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Autores principales: FLOREA, M, ROŞU, A., VREJU, F.A., MUŞETESCU, A.E., CRIVEANU, C., CIUREA, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical University Publishing House Craiova 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6246983/
https://www.ncbi.nlm.nih.gov/pubmed/30534427
http://dx.doi.org/10.12865/CHSJ.41.03.07
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author FLOREA, M
ROŞU, A.
VREJU, F.A.
MUŞETESCU, A.E.
CRIVEANU, C.
CIUREA, P.
author_facet FLOREA, M
ROŞU, A.
VREJU, F.A.
MUŞETESCU, A.E.
CRIVEANU, C.
CIUREA, P.
author_sort FLOREA, M
collection PubMed
description ABSTRACT: Background: Early inflammatory arthritis (EIA) a condition defined by joint swelling, with or without morning stiffness, and/or swelling of metacarpophalangeal and/or metatarsophalangeal joints. Nail fold video-capillaroscopy (NVC) is important for the evaluation of microcirculation in vivo. There are limited data about the role of NVC in EIA. Objectives: To study the capillaroscopic pattern in patients with EIA. Patients and methods: 27 patients with EIA - 21 women, 6 men, mean age of 41.6±4.2 yrs, mean disease duration of 6.9±3.1 months. Anamnesis and clinical examination were perform to identify clinical signs associated with connective tissue diseases. All the patients were nonsmokers and had no personal medical history of diabetes or non-immune mediated occlusive vascular disease. Blood and urine samples were collected for bio-chemical and immunological evaluation. All the patients were interrogated by NVC. Results: Raynaud's phenomenon was found in 9 patients, puffy fingers in 2 pts, telangiectasia in 2 pts, Sicca symptoms in 6 pts, malar rash in 2 pts, photosensitivity and psoriasis plaque in one patient. Combined information from clinical exam, NVC and immunological assessment allowed a specific diagnosis in 5 patients. Conclusions: Nail fold capillaroscopy assessment can provide further information and has diagnostic value in some cases of early arthritis. Nail fold capillaroscopy assessment contribution to the differential diagnosis in patients with early arthritis is sometimes significant, especially in poorly clinical and immunological defined cases.
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spelling pubmed-62469832018-12-10 Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis FLOREA, M ROŞU, A. VREJU, F.A. MUŞETESCU, A.E. CRIVEANU, C. CIUREA, P. Curr Health Sci J Original Paper ABSTRACT: Background: Early inflammatory arthritis (EIA) a condition defined by joint swelling, with or without morning stiffness, and/or swelling of metacarpophalangeal and/or metatarsophalangeal joints. Nail fold video-capillaroscopy (NVC) is important for the evaluation of microcirculation in vivo. There are limited data about the role of NVC in EIA. Objectives: To study the capillaroscopic pattern in patients with EIA. Patients and methods: 27 patients with EIA - 21 women, 6 men, mean age of 41.6±4.2 yrs, mean disease duration of 6.9±3.1 months. Anamnesis and clinical examination were perform to identify clinical signs associated with connective tissue diseases. All the patients were nonsmokers and had no personal medical history of diabetes or non-immune mediated occlusive vascular disease. Blood and urine samples were collected for bio-chemical and immunological evaluation. All the patients were interrogated by NVC. Results: Raynaud's phenomenon was found in 9 patients, puffy fingers in 2 pts, telangiectasia in 2 pts, Sicca symptoms in 6 pts, malar rash in 2 pts, photosensitivity and psoriasis plaque in one patient. Combined information from clinical exam, NVC and immunological assessment allowed a specific diagnosis in 5 patients. Conclusions: Nail fold capillaroscopy assessment can provide further information and has diagnostic value in some cases of early arthritis. Nail fold capillaroscopy assessment contribution to the differential diagnosis in patients with early arthritis is sometimes significant, especially in poorly clinical and immunological defined cases. Medical University Publishing House Craiova 2015 2015-03-15 /pmc/articles/PMC6246983/ /pubmed/30534427 http://dx.doi.org/10.12865/CHSJ.41.03.07 Text en Copyright © 2015, Medical University Publishing House Craiova http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited.
spellingShingle Original Paper
FLOREA, M
ROŞU, A.
VREJU, F.A.
MUŞETESCU, A.E.
CRIVEANU, C.
CIUREA, P.
Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title_full Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title_fullStr Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title_full_unstemmed Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title_short Contribution of Nail Fold Videocapillaroscopy in Patients with Early Inflammatory Arthritis
title_sort contribution of nail fold videocapillaroscopy in patients with early inflammatory arthritis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6246983/
https://www.ncbi.nlm.nih.gov/pubmed/30534427
http://dx.doi.org/10.12865/CHSJ.41.03.07
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