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A Reproducible Computerized Method for Quantitation of Capillary Density using Nailfold Capillaroscopy
Published on: October 27, 2015
9.5K
Nailfold dermatoscopy in general practice
1MBBS, FRACGP, DipACSCM, General Practitioner, Dalyellup Family Medical Centre, and Clinical Senior Lecturer School of Primary, Aboriginal and Rural Health Care with the University of Western Australia, Dalyellup, WA.
Australian Family Physician
|November 23, 2015
Summary
Nailfold capillary examination using dermatoscopy aids in differentiating primary Raynaud's phenomenon from secondary causes. The MDAD approach (morphology, diameter, architecture, density) helps diagnose connective tissue diseases.
Area of Science:
- Rheumatology
- Dermatology
- Vascular Medicine
Background:
- Nailfold capillary microscopy is crucial for differentiating primary Raynaud's phenomenon from secondary causes linked to connective tissue diseases.
- Dermatoscopy offers a reliable method for evaluating nailfold capillaries, aiding in the diagnosis of conditions like scleroderma.
Purpose of the Study:
- To provide an overview of nailfold capillary dermatoscopy's utility in diagnosing rheumatic and non-rheumatic diseases.
- To introduce the MDAD (morphology, diameter, architecture, and density) scoring system for nailfold dermatoscopy.
Main Methods:
- Nailfold capillary examination utilizing dermatoscopy.
- Application of the MDAD approach for structured assessment of capillary characteristics.
Main Results:
- Dermatoscopy is an effective tool for examining nailfold capillaries.
- General practitioners possess the skills for dermatoscopic examination of nailfold capillaries.
Conclusions:
- The MDAD approach provides a systematic method for nailfold dermatoscopy, evaluating capillary morphology, diameter, architecture, and density.
- Nailfold dermatoscopy is valuable in diagnosing underlying connective tissue diseases in patients presenting with Raynaud's phenomenon.
