The Handheld Dermatoscope as a Nail-Fold Capillaroscopic Instrument

Bergman, Reuven; Sharony, L; Schapira, Dan; Nahir, M.; Balbir‐Gurman, Alexandra

doi:10.1001/archderm.139.8.1027

Cited by 140 publications

(106 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A precise morphologic evaluation may be obtained by examining the fourth and the fifth finger of both hands due to the high transparency of the skin in these areas [5] and [6]. However, all fingers from second to fifth should be examined, since early capillary alterations may be on occasionally present in only a few digits.…”

Section: Capillaroscopic Techniquementioning

confidence: 99%

The role of nail-videocapillaroscopy in early diagnosis of scleroderma

Rossi

Russo

Manna

et al. 2013

Autoimmunity Reviews

View full text Add to dashboard Cite

Raynaud's phenomenon (RP) is a clinical sign of precocious abnormal microcirculation and can be considered a major risk factor for the development of connective tissue disease, especially systemic sclerosis (SSc). Nailfold videocapillaroscopy is the most valuable tool for the early diagnosis of SSc and related disorders. It allows classification of capillary abnormalities. Scoring capillaroscopic alterations, which change significantly during patient follow-up, should be systematically used in order to monitor microangiopathy. The effectiveness of the nailfold videocapillaroscopy in allowing an early diagnosis of SSc and monitoring the progression of the disease, and its predictive value of clinical complications make it a powerful tool for clinical evaluation and research.

show abstract

Section: Capillaroscopic Techniquementioning

confidence: 99%

The role of nail-videocapillaroscopy in early diagnosis of scleroderma

Rossi

Russo

Manna

et al. 2013

Autoimmunity Reviews

View full text Add to dashboard Cite

show abstract

“…A former study could demonstrate totally comparable results to those using more sophisticated instruments [13]. The  statistic between standard capillary microscope and dermatoscope was 0.93 for dilated capillaries and 0.94 for micro-hemorrhages [15].…”

Section: Discussionmentioning

confidence: 67%

“…Dermatoscope has been presented as a new diagnostic tool for quick and efficient examination of nailfold capillaries [7,[12][13][14][15]. A former study could demonstrate totally comparable results to those using more sophisticated instruments [13].…”

Section: Discussionmentioning

confidence: 99%

“…The "scleroderma pattern" was observed in 76.2% of dSSc cases and in 80.6% of lSSc cases. A previous study using dermatoscope and the criterion that at least 2 of parameters (definitely or enormously dilated capillaries, avascular areas, hemorrhages, budding capillaries, and loss of the normal capillary beds) had to be present in at least 2 nailfolds, have shown a sensitivity of 70.4% and a specificity of 100% in 27 patients with SSc [13]. The other study using dermatoscope and the criterion that at least 2 of parameters (enlarged capillaries, avascular areas, hemorrhages, tortuous, crossed and arborized capillaries) are present have revealed a sensitivity of 76.9% and a specificity of 90.9% in 26 patients with SSc [7].…”

Section: Discussionmentioning

confidence: 99%

“…The more recent availability of hand-held, battery-powered dermoscopy units employing a polarized light source to eliminate reflection from the skin surface, thereby eliminating the need for applying mineral oil/immersion to the skin surface, has made dermoscopy much more practical in a high volume outpatient setting such as a dermatology practice. Dermatoscope has been presented as a new diagnostic tool for quick and efficient examination of nailfold capillaries for circumstances when standard microscope equipment is not available [7,[12][13][14][15]. The capillaroscopic results obtained with the dermoscopy are comparable to those described with capillary microscopy [14,15].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A portable dermatoscope for easy, rapid examination of periungual nailfold capillary changes in patients with systemic sclerosis

et al. 2010

View full text Add to dashboard Cite

Microvascular lesions are a predominant feature in systemic sclerosis (SSc) and seem to play a central pathogenic role. The presence of nailfold capillary abnormalities is useful in diagnosing SSc. Capillaroscopy, however, usually requires special equipment and may be time consuming. Dermatoscope has been presented as a new diagnostic tool for quick and efficient examination of nailfold capillaries for circumstances when standard microscope equipment is not available. To assess the practical utility of dermatoscope for assessment of capillary morphology in SSc patients, 83 Japanese SSc patients (68 women, 15men) and 68 healthy controls were examined in the study. Twenty-one patients (16 women, 5 men) had diffuse cutaneous SSc and 62 (52 women, 10 men) had limited cutaneous SSc. Enlarged capillaries and hemorrhages were evaluated in all 10 fingers with either naked eyes or DermLite ® DL100 dermatoscope. Enlarged capillaries and hemorrhages were significantly more frequently detected with dermatoscope than without it. These findings were observed most frequently in the fourth finger. The presence of two or more enlarged capillaries in one or more fingers showed 83.1% sensitivity and 100% specificity for SSc. Among SSc patients with anti-topoisomerase I antibody, the disease duration correlated negatively with the dermatoscopic number of enlarged capillaries and hemorrhages. Dermatoscope allows the easy and rapid identification of capillary nailfold morphological changes in SSc and should be routinely used for diagnosing SSc.3

show abstract

Dermoscopy vs Capillaroscopy of Nontumoral Dermatoses

Vázquez‐López¹,

Marghoob²

2004

Arch Dermatol

View full text Add to dashboard Cite

The Handheld Dermatoscope as a Nail-Fold Capillaroscopic Instrument

Cited by 140 publications

References 18 publications

The role of nail-videocapillaroscopy in early diagnosis of scleroderma

The role of nail-videocapillaroscopy in early diagnosis of scleroderma

A portable dermatoscope for easy, rapid examination of periungual nailfold capillary changes in patients with systemic sclerosis

Dermoscopy vs Capillaroscopy of Nontumoral Dermatoses

Contact Info

Product

Resources

About