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ailfold capillaroscopy is a non-invasive procedure used to evaluate the small blood vessels (capillaries) in the skin around the nails. It is often used to diagnose and monitor systemic sclerosis, a connective tissue disorder that affects the skin, blood vessels, and internal organs.

Systemic sclerosis can cause a wide range of symptoms, including thickening and hardening of the skin, blood vessel damage, and scarring of internal organs. It is not typically caused by diabetes, but it can affect people with diabetes.

During nailfold capillaroscopy, the healthcare provider will use a special microscope called a capillaroscope to examine the capillaries in the nailfold (the skin surrounding the base of the nail). The capillaroscope magnifies the capillaries and allows the healthcare provider to see abnormalities in their structure and function.

Nailfold capillaroscopy is a safe and painless procedure with minimal risks. It is usually performed as an outpatient procedure and takes only a few minutes to complete. It can provide valuable information about the severity and progression of systemic sclerosis and help guide treatment decisions.

It is not clear why nailfold capillaroscopy might be more common in people with diabetes. Diabetes is a chronic condition that can cause damage to the blood vessels, and this damage may be more severe in people with poorly controlled diabetes. However, further research is needed to understand the relationship between diabetes and nailfold capillaroscopy.

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