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[Peri-ungual capillaroscopy. Value in the diagnosis of systemic diseases].

Presse Med

September 1993

Secteur d'Angiologie, Hôpital central, CHU de Nancy.

The diagnostic value of nailfold capillaroscopy was assessed through blind analysis of a continuous series of 354 examinations. Major and minor dystrophies and capillary bed abnormalities are the best criteria, especially in patients presenting with vascular disorders of the upper extremities. A systemic disease (specificity: 82.

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[Peri-ungual capillaroscopy in atherosclerosis].

Rev Port Cardiol

December 1992

Serviço de Medicina I, Hospitais da Universidade de Coimbra.

The pathology of the major vessels also affects microcirculation, making possible to evaluate at the distal sector the consequences of an ischaemia, due to an artery disease, for instance. This work had as its main aim to evaluate by peri-ungueal capillaroscopy (PUC) the lesions due to an atherosclerotic process and the prognosis and/or diagnosis value of this exam. We studied 210 patients with either risk factors for atherosclerosis or atherosclerotic disease, who were divided into groups according to the severity of the lesions seen in PUC.

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[Peri-ungual capillaroscopy].

Rev Med Suisse Romande

May 1992

Service de cardiologie, CHUV, Lausanne.

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[Raynaud's phenomenon and blood viscosity].

J Mal Vasc

July 1992

Département de Biophysique, Hôpital Pitié-Salpêtrière, Paris.

Raynaud's phenomenon is mainly linked with cold provoked vasomotor perturbations, but also with rheological alterations since blood viscosity is enhanced by lowering temperature. Several methods are available for studying distal vascularization: peri-ungual capillaroscopy, digital plethysmography and laser-Doppler. Digital arteriography must be reserved to serious ischemia regarding the general anesthesia needed to avoid spasm.

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Capillaroscopy, the only method available for the study of the microcirculation, without modifying its hydraulics, often provides a wealth of information in certain systemic diseases in which the microcirculatory involvement precedes clinical manifestations and of course, macrovascular complications. The prospective study of a healthy population is particularly demonstrative and the authors proposed scores on which diabetic microangiopathy could be suspected. The latter was confirmed by detailed laboratory investigations on one hand, and by the course of the disease on the other.

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