Anticentromere-Positive Systemic Sclerosis with Inter-Digit Pattern Heterogeneity

Anticentromere-Positive Systemic Sclerosis with Inter-Digit Pattern Heterogeneity

The study is notable for pronounced inter-digit and inter-field heterogeneity. L4C shows marked capillary loss (desertification), whereas L4A has relatively preserved, normal-appearing architecture. R2C and L3D show giant capillaries within a disorganized architecture. R4A demonstrates late-stage revascularization or neoangiogenesis—a morphology the contributor describes as a "post-late" pattern—while R5A shows transitional active-to-late features. The complete study is classified as a late scleroderma pattern, with a mean capillary density of 5.63/mm, enlarged capillaries in 43.5%, and giant capillaries in 2.5%. Image quality is variable; several fields are technically limited and should not be interpreted in isolation.