Inter-digit heterogeneity: selected abnormal field

A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.

A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.
A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.

Source study context

The study is notable for pronounced inter-digit and inter-field heterogeneity. L4C shows marked capillary loss (desertification), whereas L4A has relatively preserved, normal-appearing architecture. R2C and L3D show giant capillaries within a disorganized architecture. R4A demonstrates late-stage revascularization or neoangiogenesis—a morphology the contributor describes as a "post-late" pattern—while R5A shows transitional active-to-late features. The complete study is classified as a late scleroderma pattern, with a mean capillary density of 5.63/mm, enlarged capillaries in 43.5%, and giant capillaries in 2.5%. Image quality is variable; several fields are technically limited and should not be interpreted in isolation.

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
Systemic Sclerosis (Anticentromere-Positive)
Pattern
Heterogeneous Scleroderma Pattern (Active to Late)
Severity
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Author or contributor
Miguel Antonio Mesa Navas
Hallmarks
Late scleroderma pattern
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Teaching point

A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.

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

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