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Nailfold capillaroscopy microscopy

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What is Capillaroscopy ?

an intravitam method of study involving the examination, under magnification, of capillaries of the epithelial or endothelial integuments of animals and man (skin, mucous membranes).In man, the capillaries are examined in the skin fold of the nail bed, where they can be viewed most conveniently. A microscope or a special instrument, the capillaroscope, is used for this purpose. The use of the microscope (20–100 power magnification) after the application of a drop of clarifying oil to the skin and good oblique illumination provide good visibility. Changes are observed in the capillaries with disturbances of the peripheral blood circulation of a variety of etiologies (in vascular neuroses, the early stages of cardiac insufficiency, end arteritis obliterans). The changes observed during capillaroscopy are not strictly specific to a given pathological condition; they arise as an adaptive mechanism to any disturbance of the general blood flow. There-fore, capillaroscopy is used only as a supplementary diagnostic method in general clinical examinations.

What microscope machine?

Microcirculation Microscope is an advance medical photoelectric apparatus, equipped with built in special LED light source, used mainly in observation on human nail fold capillary microcirculation or term as video Nailfold capillaroscopy,Such as capillary blood flow, abnormal microcirculation of the vascular structure, cell adhesion, through its powerful 400x optical magnification. Undistorted, real time dynamic video streaming via Sony CCD imaging device onto a 8 inch LCD monitor screen.Simply insert the finger to the holder below the optical lens apparatus, fine-tune to fix the focal length and uncover the desired images within seconds.Microvision’s blood capilliary microcirculation microscope is a non-invasive diagnostic tools, which is gaining large credit among physicians of different specialities in for study of skin blood capilliary network.

What is nailfold capillary microscopy application?

nailfold capillary microscopy Widefield capillary microscopy A technique used to evaluate finger nailfold capillaries, using a wide-angle stereomicroscope or ophthalmoscope; enlargement, ↑ tortuosity, or ↓ number of capillaries occur in connective tissue diseases–eg, Raynaud’s phenomenon, scleroderma–to evaluate extent of visceral involvement, MCTD, dermatomyositis, SLE.

Abstract. Nailfold capillaroscopy is a method of great diagnostic value in the differential diagnosis of primary versus secondary Raynaud´s phenomenon, of systemic sclerosis versus other so called connective tissue diseases and of additional diagnostic value in other entities. Rheumatologists, dermatologists, and angiologists in Germany have convened in an interdisciplinary working group in which they synergistically combined their expertise to develop a common nomenclature and standards for the technical performance of nailfold capillary microscopy. The article gives an overview of historical and technical aspects of capillaroscopy, morphologic findings, and disease-specific patterns. It also provides a critical appraisal of its significance in the diagnosis and sequelae of these interdisciplinarily-managed diseases including its performance in children and gives an excursion in the potential perspectives of capillaroscopy in less common indications.

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