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Searchable collection of capillaroscopic images organized by pattern, diagnosis, and severity.

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Compare capillary shapes, sizes and hemorrhages.

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200x capillaroscopy field in systemic sclerosis showing very dilated megacapillaries

Giant capillary

200x capillaroscopy field in systemic sclerosis showing a representative microvascular hemorrhagic lesion

Two branching capillaries with multiple rounded apices and lateral branches. A dense dark hemorrhagic deposit lies above the left capillary.

Abnormal shapes and ramifications

A long tortuous capillary on the left and a folded loop at the lower right, above a deeper transverse vessel.

Tortuous capillaries

An enlarged capillary with a simple hairpin shape left of center, surrounded by finer loops.

Capillary dilation

Narrow hairpin capillaries with small differences in length and width.

Simple hairpin loops

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Showing 25–48 of 243 images

Nailfold video capillaroscopy of the right fourth finger showing preserved capillary density with hemorrhages and no giant capillaries

Preserved capillary density with anticoagulation-related hemorrhages

Author: Luis Peñaranda Bolaño

Magnification:: 200×
Device:: Inspectis Digital Capillaroscope
Field of view (W × H):: ≈ 1.68 × 1.26 mm

Anticoagulation-related hemorrhagesPreserved capillary density with hemorrhagesMild

Nailfold video capillaroscopy in anti-TIF-1gamma antibody-positive dermatomyositis showing enlarged, giant, and ramified capillaries

Dermatomyositis with giant and ramified capillaries

Author: Luis Peñaranda Bolaño

Magnification:: 200×
Device:: Inspectis Digital Capillaroscope
Field of view (W × H):: ≈ 1.68 × 1.26 mm

DermatomyositisMyositis-associated microangiopathy with neoangiogenesisSevere

A field from the normal reference study, showing the distal row of narrow loops. Use the full study to compare density and shape across fingers.

Normal reference: distal capillary row

Author: Miguel Antonio Mesa Navas

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.35 × 1.32 mm

Normal CapillaroscopyNormal Pattern

Dark hemorrhagic deposits alongside capillary loops in the nonspecific reference study. Hemorrhage alone does not define a scleroderma pattern.

Nonspecific pattern: hemorrhagic field

Author: Miguel Martín Cascón

Magnification:: 213.73×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 1.83 × 1.46 mm

Non-Specific MicroangiopathyNon-Specific Pattern

Selected field from the early-pattern reference study, with enlarged loops among a relatively preserved capillary row. The subtype belongs to the complete examination.

Early scleroderma pattern: selected field

Author: Borja Gracia Tello

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.32 × 1.31 mm

Systemic SclerosisEarly scleroderma pattern

A prominent enlarged loop in the active-pattern reference study. Compare the neighboring capillaries and the other fields before assigning a pattern.

Active scleroderma pattern: giant loop

Author: Borja Gracia Tello

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.43 × 1.37 mm

Systemic SclerosisActive scleroderma pattern

Irregular, ramified loops in a field from the late-pattern reference study. The full study provides context for capillary loss and distribution.

Late scleroderma pattern: disorganized loops

Author: Gema María Lledó Ibáñez

Magnification:: 212.3×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 1.84 × 1.47 mm

Systemic SclerosisLate scleroderma pattern

Large dark hemorrhagic deposits below the capillary row in the published MPO-ANCA vasculitis case. Its complete study is described as a nonspecific pattern without giants.

MPO-ANCA vasculitis: hemorrhagic deposits

Author: Gema María Lledó Ibáñez

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.29 × 1.29 mm

ANCA-Associated Vasculitis (MPO+)Non-Specific Pattern

An overview of the nailfold from the anti-Mi2β dermatomyositis case. This wider view provides context; use the complete study for calibrated measurements and individual capillary assessment.

Anti-Mi2β dermatomyositis: overview

Author: Gema María Lledó Ibáñez

Magnification:: 54.28×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 7.21 × 5.77 mm

Dermatomyositis (anti-Mi2β+)Severe Myositis-Associated Microangiopathy

Overview of the nailfold in the ACA-positive active-pattern case. The reported density and giant-capillary percentage describe the study, not this photograph alone.

ACA-positive systemic sclerosis: overview

Author: Gema María Lledó Ibáñez

Magnification:: 50×
Device:: Dino-Lite
Field of view (W × H):: ≈ 7.23 × 5.78 mm

Limited Cutaneous Systemic Sclerosis (ACA+)Active scleroderma pattern

Enlarged loops and dark hemorrhagic deposits in the anti-Scl-70-positive active-pattern case. The source report notes no avascular areas in the study.

Anti-Scl-70 systemic sclerosis: enlarged loops and hemorrhages

Author: Gela Gunashvili

Magnification:: 211.15×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 1.67 × 1.34 mm

Diffuse Systemic Sclerosis (anti-Scl-70+)Active scleroderma pattern

Irregular enlarged loops in the anti-U3 RNP case. Although giants remain present, the final report classifies the overall microangiopathy as late.

Anti-U3 RNP systemic sclerosis: irregular loops

Author: Miguel Antonio Mesa Navas

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.39 × 1.34 mm

Systemic Sclerosis (anti-U3 RNP+)Late scleroderma pattern

A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.

Inter-digit heterogeneity: selected abnormal field

Author: Miguel Antonio Mesa Navas

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.32 × 1.31 mm

Systemic Sclerosis (Anticentromere-Positive)Heterogeneous Scleroderma Pattern (Active to Late)

Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.

Mixed connective tissue disease: irregular branching forms

Author: Miguel Antonio Mesa Navas

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.30 × 1.29 mm

Mixed Connective Tissue Disease (anti-RNP+)Scleroderma-Like Pattern (Unclassifiable Cutolo Subtype)

Prominent enlarged loops and a complex branching form in the initial anti-NXP2 dermatomyositis study. Compare this with the linked follow-up image and complete serial studies.

Anti-NXP2 dermatomyositis: initial enlarged loops

Author: Luis Saez Comet

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.30 × 1.29 mm

Dermatomyositis (anti-NXP2+)Myositis-Associated Microangiopathy with Treatment Response

Follow-up field from the adult anti-NXP2 dermatomyositis case. The source report documents improved study-wide density and disappearance of giants and hemorrhages; these are longitudinal study findings.

Anti-NXP2 dermatomyositis: follow-up field

Author: Luis Saez Comet

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.27 × 1.28 mm

Dermatomyositis (anti-NXP2+)Follow-up study

Complex, winding and ramified vascular forms in the anti-TIF1γ dermatomyositis case. A scleroderma-like image appearance does not establish systemic sclerosis.

Anti-TIF1γ dermatomyositis: complex vascular shapes

Author: Franklin Uguña Sari

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.39 × 1.34 mm

Dermatomyositis (anti-TIF1γ+)Scleroderma-Like Pattern

Nailfold overview from the juvenile dermatomyositis case with Gottron papules. The complete report describes the vascular abnormalities; this image is an orientation view.

Juvenile dermatomyositis: nailfold overview

Author: Clara Udaondo

Magnification:: 50×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 7.24 × 5.79 mm

Juvenile DermatomyositisLate Scleroderma-Like Pattern

Initial nailfold overview in the juvenile anti-NXP2 longitudinal case. Compare the follow-up and the documented quantitative findings in the complete case.

Juvenile anti-NXP2 dermatomyositis: initial overview

Author: Clara Udaondo

Magnification:: 50×
Device:: Dino-Lite
Field of view (W × H):: ≈ 7.22 × 5.77 mm

Juvenile Dermatomyositis (anti-NXP2+)Early Scleroderma-Like Pattern with Treatment Response

Follow-up nailfold overview from the same juvenile anti-NXP2 case. Differences in overview appearance should be interpreted alongside acquisition conditions and the serial reports.

Juvenile anti-NXP2 dermatomyositis: follow-up overview

Author: Clara Udaondo

Magnification:: 50×
Device:: Dino-Lite
Field of view (W × H):: ≈ 7.22 × 5.77 mm

Juvenile Dermatomyositis (anti-NXP2+)Follow-up study

Overview from the active juvenile anti-TIF1 dermatomyositis case. Open the source study to examine the arborizing capillaries described in its report.

Juvenile anti-TIF1 dermatomyositis: nailfold overview

Author: Clara Udaondo

Magnification:: 50×
Device:: Dino-Lite
Field of view (W × H):: ≈ 7.22 × 5.77 mm

Juvenile Dermatomyositis (anti-TIF1+)Active Scleroderma-Like Pattern

Initial nailfold overview from the longitudinal mixed connective tissue disease case. Use the serial studies to assess change in morphology and density.

Mixed connective tissue disease: initial overview

Author: Clara Udaondo

Magnification:: 53.09×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 7.37 × 5.90 mm

Mixed Connective Tissue Disease (anti-RNP+)Early Scleroderma Pattern with Improvement

Follow-up overview from the same mixed connective tissue disease case. The linked report places this image in the clinical and longitudinal context.

Mixed connective tissue disease: follow-up overview

Author: Clara Udaondo

Magnification:: 53.84×
Device:: Dino-Lite Edge
Field of view (W × H):: ≈ 7.26 × 5.81 mm

Mixed Connective Tissue Disease (anti-RNP+)Follow-up study

Hairpin capillaries with rounded apices of different widths. The deeper vascular network is visible.

A capillary row above the deeper vascular network

Author: Borja Gracia Tello

Magnification:: 250×
Device:: Smart G-Scope
Field of view (W × H):: ≈ 2.36 × 1.33 mm

Unequal capillary calibers

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