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[风湿病诊疗中的毛细血管镜检查——单中心经验]

[Capillaroscopy in rheumatological practice--one center experience].

作者信息

Baresić Marko, Anić Branimir

出版信息

Lijec Vjesn. 2014 Jan-Feb;136(1-2):28-32.

PMID:24720153
Abstract

Capillaroscopy is a method for evaluating morphological characteristics of nailfold capillaries. The simplicity, noninvasiveness and easiness-to-perform make the method accessible in everyday rheumatological practice. Raynaud's phenomenon is the main indication for performing capillaroscopy (differentiating between primary and secondary Raynaud's phenomenon) and diagnosing early stages of systemic sclerosis. According to some authors capillaroscopy should be included in the work-up algorithm for patients with puffy fingers and Raynaud's phenomenon. Other autoimmune conditions (systemic lupus erythematosus, polymyositis/dermatomyositis, mixed connective tissue disease, antiphospholipid syndrome and other diseases which affect microvasculature - diabetes mellitus, thromboangiitis obliterans) can have some abnormalities of the capillaroscopic pattern. We present the results of the capillaroscopies performed in our center during the period of one year.

摘要

甲襞毛细血管镜检查是一种评估甲襞毛细血管形态特征的方法。该方法具有操作简单、无创且易于实施的特点,使其在日常风湿病诊疗中得以应用。雷诺现象是进行甲襞毛细血管镜检查的主要指征(用于区分原发性和继发性雷诺现象)以及诊断系统性硬化症的早期阶段。一些作者认为,对于手指肿胀和雷诺现象的患者,甲襞毛细血管镜检查应纳入检查流程。其他自身免疫性疾病(系统性红斑狼疮、多发性肌炎/皮肌炎、混合性结缔组织病、抗磷脂综合征以及其他影响微血管的疾病——糖尿病、血栓闭塞性脉管炎)可能会出现甲襞毛细血管镜图像的某些异常。我们展示了本中心在一年期间进行的甲襞毛细血管镜检查结果。

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