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[甲襞毛细血管镜检查:与风湿病学实践的相关性]

[Nailfold capillaroscopy: relevance to the practice of rheumatology].

作者信息

Souza Eduardo José do Rosário E, Kayser Cristiane

机构信息

Disciplina de Reumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil; Santa Casa de Belo Horizonte, Belo Horizonte, MG, Brasil.

Disciplina de Reumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Bras Reumatol. 2015 May-Jun;55(3):264-71. doi: 10.1016/j.rbr.2014.09.003. Epub 2014 Oct 22.

Abstract

Nailfold capillaroscopy is a simple, low-cost method, that is extremely important in the evaluation of patients with Raynaud's phenomenon and of patients with systemic sclerosis (SSc) spectrum diseases. Besides its importance for the early diagnosis of SSc, nailfold capillaroscopy is a useful tool to identify scleroderma patients with high risk for development of vascular and visceral complications and death. The inclusion of capillaroscopy in the new classification criteria for SSc of the American College of Rheumatology (ACR) and European League Against Rheumatism (Eular) gives a new impetus to the use and dissemination of the method. In this paper, we present a didactic, non-systematic review on the subject, with emphasis on advances recently described.

摘要

甲襞毛细血管镜检查是一种简单、低成本的方法,在评估雷诺现象患者和系统性硬化症(SSc)谱系疾病患者时极为重要。除了对SSc的早期诊断具有重要意义外,甲襞毛细血管镜检查还是一种有用的工具,可用于识别有发生血管和内脏并发症及死亡高风险的硬皮病患者。美国风湿病学会(ACR)和欧洲抗风湿病联盟(EULAR)的SSc新分类标准纳入了毛细血管镜检查,这为该方法的使用和推广带来了新的动力。在本文中,我们对该主题进行了指导性的非系统性综述,重点关注最近描述的进展。

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