ACA-positive systemic sclerosis: overview

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.

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.
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.

Source study context

Capillaroscopy shows marked capillary loss (5.3/mm), frequent dilations, high prevalence of giant capillaries (27.5%), and hemorrhages, matching an active Cutolo pattern.

Measurements and classification refer to the described study or visit; they are not new measurements of this image.

View the complete case and study

Image details

Pathology
Limited Cutaneous Systemic Sclerosis (ACA+)
Pattern
Active scleroderma pattern
Author or contributor
Gema María Lledó Ibáñez
Hallmarks
Active scleroderma pattern
Magnification
50×
Device
Dino-Lite
Field of view (W × H)
≈ 7.23 × 5.78 mm
Open full-size image

Teaching point

Review several fingers before concluding that density is low or the pattern is abnormal.

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 Gema María Lledó Ibáñez for educational publication on Capillaroscopy.com. For reuse permissions, contact the rights holder.

Image source page

Image licensing and reuse

Related images

Back to atlas