Mixed connective tissue disease: irregular branching forms

Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.

Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.
Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.

Source study context

Capillaroscopy shows megacapillaries, but their distribution does not fit the typical organization of any early, active, or late Cutolo subtype. The overall morphology is therefore classified as a scleroderma-like pattern. Arborizing capillaries are also evident. The quantitative dataset reports a mean capillary density of 5.69/mm, enlarged capillaries in 78.7%, megacapillaries in 6.0%, and ramified forms in 4.7%.

Measurements and classification refer to the described study or visit; they are not new measurements of this image.

View the complete case and study

Image details

Pathology
Mixed Connective Tissue Disease (anti-RNP+)
Pattern
Scleroderma-Like Pattern (Unclassifiable Cutolo Subtype)
Severity
See complete study
Author or contributor
Miguel Antonio Mesa Navas
Hallmarks
Abnormal shapes and ramifications
Open full-size image

Teaching point

Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.

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.

Related images

Back to atlas