ACA-positive systemic sclerosis: overview
Overview of the nailfold in the ACA-positive active-pattern case. The reported density and giant-capillary percentage describe the study, not this photograph alone.

Source study context
Capillaroscopy shows marked capillary loss (5.3/mm), frequent dilations, high prevalence of giant capillaries (27.5%), and hemorrhages, matching an active Cutolo pattern.
Measurements and classification refer to the described study or visit; they are not new measurements of this image.
View the complete case and studyImage details
- Pathology
- Limited Cutaneous Systemic Sclerosis (ACA+)
- Pattern
- Active Cutolo Scleroderma Pattern
- Severity
- See complete study
- Author or contributor
- Gema María Lledó Ibáñez
- Hallmarks
- Active scleroderma pattern
Teaching point
Overview of the nailfold in the ACA-positive active-pattern case. The reported density and giant-capillary percentage describe the study, not this photograph alone.
Clinical caveat
This image illustrates a visual finding and should be interpreted with acquisition quality, distribution across fingers, clinical context, and serology when relevant.
Use and licensing
Educational material. For reuse outside Capillaroscopy.com, request permission and preserve the stated attribution.

