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nailfold capillaroscopy in systemic sclerosis

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Nailfold 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.

During the procedure, a dermatologist or rheumatologist 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.

To perform the procedure, the healthcare provider will clean the skin around the nails and apply a drop of oil or other lubricant to the nailfold. They will then gently press on the nailfold with the capillaroscope to make the capillaries more visible. The healthcare provider will look for abnormalities such as dilated or damaged capillaries, capillary loop abnormalities, and changes in capillary density.

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.

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