A study comparing videocapillaroscopy and dermoscopy in the assessment of nailfold capillaries in patients with systemic sclerosis-spectrum disorders

Rheumatology
Michael HughesAriane L Herrick

Abstract

Nailfold videocapillaroscopy (NVC), the current gold standard for detection of capillary abnormalities suggestive of an SSc-spectrum disorder, is not widely available: a key question is whether lower-magnification, easy-to-use dermoscopy compares favourably. This is especially relevant given the inclusion of capillaroscopic abnormality within the 2013 classification criteria for SSc. Our objectives were to examine the ability to classify capillaries and to evaluate abnormality (severity), by both NVC and dermoscopy, to determine whether these differ between general and specialist rheumatologists, and to compare intra- and interrater reliability of both techniques. NVC and dermoscopy images were acquired from all 10 nailbeds of 32 subjects with a range of capillary abnormalities. Images were graded (using a web-based interface) on a 0-3 scale of severity: normal (0), mildly (1), definitely (2) and grossly abnormal (3), and an unclassifiable category. Raters graded images from four subjects (40 nailbeds) using each technique, with five repeated images to estimate intrarater reliability. Forty-eight rheumatologists from 12 countries participated in the study (22 generalists, 26 specialists). While most images could be graded by bo...Continue Reading

References

Aug 20, 2003·Archives of Dermatology·Reuven BergmanAlexandra Balbir-Gurman
Jun 14, 2005·Clinical Rheumatology·Madeleine MeliBeatrice R Amann-Vesti
Jan 2, 2008·Seminars in Arthritis and Rheumatism·Francesca IngegnoliFlavio Fantini
Dec 24, 2009·Rheumatology·Tonia L MooreAriane L Herrick
Mar 26, 2013·Skin Research and Technology : Official Journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·Sibel DoganNilgün Atakan
Oct 17, 2013·The Journal of Rheumatology·Vanessa SmithMaurizio Cutolo
Dec 18, 2013·Clinical and Experimental Dermatology·N G MazzottiT F Cestari

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Citations

Jul 17, 2016·Best Practice & Research. Clinical Rheumatology·Michael Hughes, Ariane L Herrick
May 20, 2017·Pediatric Dermatology·Donato RiganteCristina Guerriero
Dec 5, 2017·Therapeutic Advances in Musculoskeletal Disease·Ariane L Herrick
Feb 2, 2019·Physics in Medicine and Biology·Anthony J Deegan, Ruikang K Wang
Jul 7, 2019·Clinical Rheumatology·Abdolamir KarbalaieBjörn-Erik Erlandsson
Sep 10, 2019·British Journal of Hospital Medicine·Michael Hughes, Ariane L Herrick
Aug 20, 2019·Clinical Rheumatology·John D PaulingJanet E Pope
Feb 27, 2020·Nature Reviews. Rheumatology·Michael HughesMarco Matucci-Cerinic
Nov 12, 2019·British Journal of Hospital Medicine·Vikrant Devgire, Michael Hughes
Sep 13, 2017·Rheumatology International·Francesca IngegnoliUNKNOWN EULAR Study Group on Microcirculation in RheumaticDiseases
Sep 25, 2018·Rheumatology·Graham DinsdaleAriane L Herrick
Nov 18, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Ashraful Haque, Michael Hughes
Jan 26, 2021·Rheumatology·Ariane L HerrickChris J Taylor
Sep 26, 2021·Nature Reviews. Rheumatology·Maurizio Cutolo, Vanessa Smith

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