Capillaroscopy.com

Home Fundamentals Patterns Clinical Cases Scientific Evidence Image library About

Select language

Home Fundamentals Patterns Clinical Cases Scientific Evidence Image library About

Interactive viewer

Limited Cutaneous Systemic Sclerosis (ACA+) with Active Cutolo Pattern

Limited Cutaneous Systemic Sclerosis (ACA+) Active Cutolo Scleroderma Pattern Severe

A 38-year-old woman with limited cutaneous systemic sclerosis, anti-centromere antibodies, and established active microangiopathy.

Author Gema María Lledó Ibáñez

Clinical context

This case includes a 5-year history of Raynaud's phenomenon, esophageal dysmotility, and interstitial lung disease with an NSIP pattern, without current indirect echocardiographic signs of pulmonary hypertension.

Capillaroscopy

Capillaroscopy shows marked capillary loss (5.3/mm), frequent dilations, high prevalence of giant capillaries (27.5%), and hemorrhages, matching an active Cutolo pattern.

Key Capillaroscopic Findings

Marked capillary loss (5.3/mm)
High frequency of giant capillaries (27.5%)
Frequent capillary dilations (61.6%) with hemorrhages