Preserved capillary density with anticoagulation-related hemorrhages
A 74-year-old male with no rheumatologic history, on apixaban for permanent atrial fibrillation. Nailfold video capillaroscopy of the right fourth finger demonstrates preserved capillary density without capillary dropout. There are no giants or enlarged capillaries. Hemorrhages are present, related to chronic anticoagulation.
Image details
- Pathology
- Anticoagulation-related hemorrhages
- Pattern
- Preserved capillary density with hemorrhages
- Severity
- Mild
- Author or contributor
- Luis Peñaranda Bolaño
- Hallmarks
- HemorrhagesPreserved capillary densityNo giant capillaries
- Magnification
- 200×
- Device
- Inspectis Digital Capillaroscope
- Field of view (W × H)
- ≈ 1.68 × 1.26 mm
Teaching point
Local trauma, manicure, and clinical context should be reviewed.
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 Luis Peñaranda Bolaño for educational publication on Capillaroscopy.com. For reuse permissions, contact the rights holder.
