Hemorrhage with smoke-plume appearance

200x capillaroscopy image from systemic sclerosis showing a microvascular hemorrhage with the typical smoke-plume appearance.

200x capillaroscopy field in systemic sclerosis showing a hemorrhage with a smoke-plume appearance
200x capillaroscopy image from systemic sclerosis showing a microvascular hemorrhage with the typical smoke-plume appearance.

Image details

Pathology
Systemic sclerosis
Pattern
Hemorrhages
Severity
Moderate to Severe
Author or contributor
Miguel Antonio Mesa Navas
Hallmarks
Hemorrhages
Magnification
200×
Device
Inspectis Digital Capillaroscope
Field of view (W × H)
≈ 1.68 × 1.26 mm
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Teaching point

Hemorrhages: number, distribution, and appearance.

Clinical caveat

This image illustrates a visual finding and should be interpreted with acquisition quality, distribution across fingers, clinical context, and serology when relevant.

Use and licensing

Contributed by Miguel Antonio Mesa Navas for educational publication on Capillaroscopy.com. For reuse permissions, contact the rights holder.

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