
Professor of Medicine, University of Zaragoza
Dr. Borja del Carmelo Gracia Tello is an internist and academic director of the Unidad de Enfermedades Autoinmunes Sistémicas (Systemic Autoimmune Diseases Unit) at Hospital Clínico Universitario Lozano Blesa (Zaragoza), and Professor of Medicine at the University of Zaragoza. After completing his specialist training in Internal Medicine, he undertook a research fellowship with Prof. David Isenberg at University College London, where he gained advanced expertise in systemic autoimmune diseases and lupus. His clinical and research work focuses on microvascular involvement and connective tissue diseases, with a particular interest in systemic sclerosis, biomarkers of disease activity, and imaging-based tools to improve early diagnosis and risk stratification.
Dr. Gracia Tello has coordinated and participated in multiple national and international research projects, including studies on systemic sclerosis–associated pulmonary arterial hypertension, sarcoidosis, giant cell arteritis, and COVID-19. He is the lead inventor of a project on the digitalisation and automated analysis of nailfold capillaroscopy, developed through the GEAS (Grupo Español de Enfermedades Autoinmunes Sistémicas) of SEMI (Spanish Society of Internal Medicine), and co-author of the CAPI-Score and CAPI-Detect algorithms for quantitative videocapillaroscopy. As Chair of the Scientific Advisory Board, he provides strategic and scientific oversight for Capillaroscopy.com, ensuring that all educational content is rigorous, up-to-date, and aligned with international standards of care.
Contributed cases and studies (2)
Early SSc Cutolo Pattern: Representative Case
Complete capillaroscopy study illustrating early scleroderma-pattern microangiopathy with preserved density.
Active SSc Cutolo Pattern: Representative Case
Complete capillaroscopy study with prominent giant capillaries, hemorrhages, and moderate capillary loss.
Guides with credited review
Images in the atlas (202)
Showing 49–60 of 202 images

Tortuous capillaries with broad curves and a hooked loop on the right, beside narrower straight loops.
- Magnification:
- 208.59×
- Device:
- Dino-Lite Edge
- Field of view (W × H):
- ≈ 1.87 × 1.50 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 23–34 µm. These are automated estimates, not manually validated measurements.

Two capillaries with irregularly curved apices in the center, between taller open hairpin loops.
- Magnification:
- 250×
- Device:
- Smart G-Scope
- Field of view (W × H):
- ≈ 2.32 × 1.31 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 15–31 µm. These are automated estimates, not manually validated measurements.

Capillaries with angular and repeatedly folded apices, especially in the right half.
- Magnification:
- 250×
- Device:
- Smart G-Scope
- Field of view (W × H):
- ≈ 2.33 × 1.31 mm
For nonbranching apices with stable automated measurements, estimated widths span approximately 15–27 µm. These are automated estimates, not manually validated measurements.

A long tortuous capillary near the left-center, surrounded by straighter elongated hairpin loops of different widths.
- Magnification:
- 250×
- Device:
- Smart G-Scope

An elongated capillary with a curved limb, among finer hairpin loops with rounded apices.
- Magnification:
- 211.9×
- Device:
- Dino-Lite Edge
- Field of view (W × H):
- ≈ 1.85 × 1.48 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 12–25 µm. These are automated estimates, not manually validated measurements.

A large S-shaped capillary with a smaller lateral loop near its base, beside a simple hairpin capillary.

Fine crossed and curved capillaries mixed with long straight hairpin loops. The deeper vascular network is visible.
- Magnification:
- 200×
- Device:
- DinoLite

Slender capillaries with small repeated bends in their limbs and mostly rounded apices.
Recorded diagnosis: Inflammatory myopathy
- Magnification:
- 250×
- Device:
- Smart G-Scope
- Field of view (W × H):
- ≈ 2.33 × 1.31 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 14–25 µm. These are automated estimates, not manually validated measurements.

A long tortuous capillary on the left and a folded loop at the lower right, above a deeper transverse vessel.
- Magnification:
- 216.48×
- Device:
- Dino-Lite Edge
- Field of view (W × H):
- ≈ 1.81 × 1.45 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 19–31 µm. These are automated estimates, not manually validated measurements.

Fine and broader hairpin capillaries with occasional mild bends, especially in the center.
- Magnification:
- 200×
- Device:
- DinoLite

Capillaries with hooked and folded apices, beside straighter loops with parallel limbs.
- Magnification:
- 200×
- Device:
- Optilia
- Field of view (W × H):
- ≈ 1.71 × 1.28 mm

Enlarged capillaries with uneven limb thickness, especially on the right. Bubbles obscure parts of several loops.
- Magnification:
- 250×
- Device:
- Smart G-Scope
- Field of view (W × H):
- ≈ 2.38 × 1.34 mm
For the subset of apices with stable automated measurements, estimated widths span approximately 12–35 µm. These are automated estimates, not manually validated measurements.