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Late SSc Cutolo Pattern: Representative Case

Name: Late SSc Cutolo Pattern: Representative Case
Creator: Gema María Lledó Ibáñez

Systemic SclerosisLate Cutolo SSc PatternSevere

Complete capillaroscopy study dominated by capillary loss, architectural disorganization, and abnormal neoangiogenic shapes.

AuthorGema María Lledó Ibáñez

Clinical context

In late Cutolo SSc, fewer classic giant capillaries may coexist with more advanced microvascular damage and remodeling.

Capillaroscopy

The study shows severe capillary rarefaction, avascular areas, disorganization, and ramified or highly abnormal capillaries.

Key Capillaroscopic Findings

Severe capillary loss and avascular areas
Marked architectural disorganization
Ramified or abnormal neoangiogenic capillaries

Atlas images from this case

Late scleroderma pattern: disorganized loops

Late scleroderma pattern: disorganized loops

The study, field by field

Images & measurements

Explore the fields from each finger and open any image for a closer look. Measurements describe the complete examination at each visit.

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

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Late SSc Cutolo Pattern: Representative Case

The study shows severe capillary rarefaction, avascular areas, disorganization, and ramified or highly abnormal capillaries.

Recorded measurements

Capillary density: 4.79capillaries/mm
Enlarged capillaries: 59.44%
Giant capillaries: 8.84%
Hemorrhages: 0.12/mm

Values from the saved analysis: density and hemorrhages per total analyzed length; percentages of the total capillary count. These are not measurements of an individual image and may differ from averages across fields.

Left index finger

4 images

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

Nailfold capillaroscopy: left index finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left index finger, field b.

Nailfold capillaroscopy: left index finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left index finger, field c.

Nailfold capillaroscopy: left index finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left index finger, field d.

Left middle finger

4 images

Nailfold capillaroscopy: left middle finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left middle finger, field b.

Nailfold capillaroscopy: left middle finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left middle finger, field c.

Nailfold capillaroscopy: left middle finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left middle finger, field d.

Left ring finger

4 images

Nailfold capillaroscopy: left ring finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left ring finger, field b.

Nailfold capillaroscopy: left ring finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left ring finger, field c.

Nailfold capillaroscopy: left ring finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left ring finger, field d.

Left little finger

4 images

Nailfold capillaroscopy: left little finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: left little finger, field b.

Nailfold capillaroscopy: left little finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: left little finger, field c.

Nailfold capillaroscopy: left little finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: left little finger, field d.

Right index finger

4 images

Nailfold capillaroscopy: right index finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right index finger, field b.

Nailfold capillaroscopy: right index finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right index finger, field c.

Nailfold capillaroscopy: right index finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right index finger, field d.

Right middle finger

4 images

Nailfold capillaroscopy: right middle finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right middle finger, field b.

Nailfold capillaroscopy: right middle finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right middle finger, field c.

Nailfold capillaroscopy: right middle finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right middle finger, field d.

Right ring finger

4 images

Nailfold capillaroscopy: right ring finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right ring finger, field b.

Nailfold capillaroscopy: right ring finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right ring finger, field c.

Nailfold capillaroscopy: right ring finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right ring finger, field d.

Right little finger

4 images

Nailfold capillaroscopy: right little finger, field b. Late SSc Cutolo Pattern: Representative Case. — Field B
Nailfold capillaroscopy: right little finger, field b.

Nailfold capillaroscopy: right little finger, field c. Late SSc Cutolo Pattern: Representative Case. — Field C
Nailfold capillaroscopy: right little finger, field c.

Nailfold capillaroscopy: right little finger, field d. Late SSc Cutolo Pattern: Representative Case. — Field D
Nailfold capillaroscopy: right little finger, field d.

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