A woman with systemic sclerosis undergoes nailfold videocapillaroscopy. The findings are to be classified using the early, active and late

Question

A woman with systemic sclerosis undergoes nailfold videocapillaroscopy. The findings are to be classified using the early, active and late systemic-sclerosis patterns. Which constellation most specifically identifies the late pattern rather than the early or active pattern?

Accepted Answer

Severe capillary loss with large avascular areas, architectural disorganisation and ramified or bushy neoangiogenic capillaries

Answer

Few giant capillaries and microhaemorrhages with otherwise preserved capillary density and architecture

Answer

Preserved capillary density with isolated tortuous and crossing capillary loops

Answer

Preserved capillary density with uniform dilatation but no giant capillaries or microhaemorrhages

Answer

Frequent giant capillaries and microhaemorrhages with moderate capillary loss and mild architectural disorganisation

Systemic Sclerosis — SCE Rheumatology MCQ

A woman with systemic sclerosis undergoes nailfold videocapillaroscopy. The findings are to be classified using the early, active and late systemic-sclerosis patterns. Which constellation most specifically identifies the late pattern rather than the early or active pattern?