Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy

Objective. To study prevalence and structure of videocapillaroscopic findings in primary Raynaud's phenomenon (PRP) and their relation to clinical picture. Methods. 20 pts with PRP and 15 controls were examined by videocapillaroscopy. Results. The presence of homogenous enlarged (mean loop diam...

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Main Authors: T A Nevskaya, N G Guseva
Format: Article
Language:Russian
Published: IMA PRESS LLC 2003-06-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/1216
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author T A Nevskaya
N G Guseva
author_facet T A Nevskaya
N G Guseva
author_sort T A Nevskaya
collection DOAJ
description Objective. To study prevalence and structure of videocapillaroscopic findings in primary Raynaud's phenomenon (PRP) and their relation to clinical picture. Methods. 20 pts with PRP and 15 controls were examined by videocapillaroscopy. Results. The presence of homogenous enlarged (mean loop diameter 33,6±7,7 m, p<0,0005) and elongated (mean loop length 301±109 m, p<0,0005) capillaries, multiple punctate hemorrhages or confluent areas of hemorrhage was characteristic of PRP group. Nonspecific capillary changes often found in PRP consisted of tortuous venular part (50%), bushy capillaries (20%). isolated punctate hemorrhages (19%), increased visibility of subpapillary venous plexus (20%). The prevalence of cyanosis in clinical picture of PRP was accompanied by considerable enlargement of venular parts of the loops, prominence of subpapillary vessels, minor dystrophies (tortuous, bushy capillaries) were more frequently seen in pts with longer disease duration. Conclusion. PRP is characterized by structural capillary changes which must be taken into consideration in diagnosis and differential diagnosis of primary and secondary Raynaud's phenomenon.
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series Научно-практическая ревматология
spelling doaj-art-4d7db2b8fef34af68feb6985157c1dc22025-08-20T03:38:34ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922003-06-01413111510.14412/1995-4484-2003-13521156Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopyT A NevskayaN G GusevaObjective. To study prevalence and structure of videocapillaroscopic findings in primary Raynaud's phenomenon (PRP) and their relation to clinical picture. Methods. 20 pts with PRP and 15 controls were examined by videocapillaroscopy. Results. The presence of homogenous enlarged (mean loop diameter 33,6±7,7 m, p<0,0005) and elongated (mean loop length 301±109 m, p<0,0005) capillaries, multiple punctate hemorrhages or confluent areas of hemorrhage was characteristic of PRP group. Nonspecific capillary changes often found in PRP consisted of tortuous venular part (50%), bushy capillaries (20%). isolated punctate hemorrhages (19%), increased visibility of subpapillary venous plexus (20%). The prevalence of cyanosis in clinical picture of PRP was accompanied by considerable enlargement of venular parts of the loops, prominence of subpapillary vessels, minor dystrophies (tortuous, bushy capillaries) were more frequently seen in pts with longer disease duration. Conclusion. PRP is characterized by structural capillary changes which must be taken into consideration in diagnosis and differential diagnosis of primary and secondary Raynaud's phenomenon.https://rsp.mediar-press.net/rsp/article/view/1216primary raynaud's phenomenonvideocapillaroscopy
spellingShingle T A Nevskaya
N G Guseva
Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
Научно-практическая ревматология
primary raynaud's phenomenon
videocapillaroscopy
title Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
title_full Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
title_fullStr Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
title_full_unstemmed Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
title_short Characteristic of microcirculatory changes in patients with primary Raynod's phenomenon by videocapillaroscopy
title_sort characteristic of microcirculatory changes in patients with primary raynod s phenomenon by videocapillaroscopy
topic primary raynaud's phenomenon
videocapillaroscopy
url https://rsp.mediar-press.net/rsp/article/view/1216
work_keys_str_mv AT tanevskaya characteristicofmicrocirculatorychangesinpatientswithprimaryraynodsphenomenonbyvideocapillaroscopy
AT ngguseva characteristicofmicrocirculatorychangesinpatientswithprimaryraynodsphenomenonbyvideocapillaroscopy