Hasseli-Fräbel R, Hermann W, Sander O, Triantafyllias K
Medizinische Klinik und Poliklinik II, Universitätsklinikum Gießen, Justus-Liebig-Universität Gießen, Gießen, Deutschland.
Abteilung für Rheumatologie und Klinische Immunologie, Kerckhoff-Klinik GmbH, Benekestr. 2-8, 61231, Bad Nauheim, Deutschland.
Dermatologie (Heidelb). 2023 Jan;74(1):55-64. doi: 10.1007/s00105-022-05091-5.
Nailfold capillaroscopy is a rapid and easily applicable differential diagnostic technique that allows direct visualization of the microcirculation. Abnormal findings in nailfold capillaroscopy are closely associated with connective tissue diseases, such as systemic sclerosis. The clinical manifestation of impaired microcirculation is Raynaud's phenomenon, which is a classical symptom of connective tissue diseases. Nailfold capillaroscopy is increasingly used in various fields of medicine, therefore it is important to define methods for the acquisition and analysis of the results of nailfold capillary and to have a uniform definition of abnormal capillaries. This article discusses image acquisition and analysis, various capillaroscopic techniques, normal and abnormal capillaroscopic features and their significance, scoring systems and reliability of image acquisition and interpretation.
甲襞毛细血管镜检查是一种快速且易于应用的鉴别诊断技术，可直接观察微循环。甲襞毛细血管镜检查的异常发现与结缔组织疾病密切相关，如系统性硬化症。微循环受损的临床表现为雷诺现象，这是结缔组织疾病的经典症状。甲襞毛细血管镜检查在医学各个领域的应用越来越广泛，因此，定义甲襞毛细血管检查结果的采集和分析方法以及对异常毛细血管有统一的定义非常重要。本文讨论了图像采集与分析、各种毛细血管镜检查技术、正常和异常毛细血管镜特征及其意义、评分系统以及图像采集与解读的可靠性。
