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.

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.
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.

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Image details

Pathology
Limited Cutaneous Systemic Sclerosis (ACA+)
Pattern
Active Cutolo Scleroderma Pattern
Severity
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Author or contributor
Gema María Lledó Ibáñez
Hallmarks
Active scleroderma pattern
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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.

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