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CASE-BASED REVIEW
Microvascular damage – a marker of specific organ involvement in mixed connective tissue disease?
 
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1
Department of Systemic Connective Tissue Diseases, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
 
2
Medical University of Warsaw, Poland
 
 
Submission date: 2020-07-23
 
 
Final revision date: 2021-02-04
 
 
Acceptance date: 2021-02-10
 
 
Online publication date: 2021-04-27
 
 
Publication date: 2021-04-28
 
 
Reumatologia 2021;59(2):115-120
 
KEYWORDS
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ABSTRACT
Mixed connective tissue disease (MCTD) is a complex entity, which incorporates features of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), systemic sclerosis (SSc) and polymyositis/dermatomyositis (PM/DM). Nailfold videocapillaroscopy (NVC) is a simple, safe and non-invasive technique of capillary vessel assessment, allowing for qualitative and quantitative assessment of microcirculation. NVC plays a pivotal role in the diagnostic algorithm of connective tissue diseases, especially in systemic sclerosis (SSc). Numerous studies have shown a correlation between organ involvement and disease progression in SSc.
In the current literature, there are limited data on relationship between NVC and organ involvement in MCTD patients. In the present article the relevant literature describing NVC examination in patients with MCTD and comparisons with some clinical situations are discussed.
 
REFERENCES (22)
1.
Chaigne B, Scirè CA, Talarico R, et al. Mixed connective tissue disease: state of the art on clinical practice guidelines. RMD Open 2018; 4 (Suppl 1): e000783, DOI: 10.1136/rmdopen- 2018-000783.
 
2.
Venables PJ. Mixed connective tissue disease. Lupus 2006; 15: 132–137, DOI: 10.1191/0961203306lu2283rr.
 
3.
Chojnowski MM, Felis-Giemza A, Olesińska M. Capillaros copy – a role in modern rheumatology. Reumatologia 2016; 54: 67–72, DOI: 10.5114/reum.2016.60215.
 
4.
Smith V, Riccieri V, Pizzorni C, et al. Nailfold capillaroscopy for prediction of novel future severe organ involvement in systemic sclerosis. J Rheumatol 2013; 40: 2023–2028, DOI: 10.3899/jrheum.130528.
 
5.
Smith V, Thevissen K, Trombetta AC, et al. Nailfold capillaroscopy and clinical applications in systemic sclerosis. Microcirculation 2016; 23: 364–372, DOI: 10.1111/micc.12281.
 
6.
de Holanda Mafaldo Diógenes A, Bonfá E, Fuller R, Correia Caleiro MT. Capillaroscopy is a dynamic process in mixed connective tissue disease. Lupus 2007; 16: 254–258, DOI: 10.1177/0961203307076517.
 
7.
Ruaro B, Pizzorni C, Paolino S, et al. Correlations between nailfold microvascular damage and skin involvement in systemic sclerosis patients. Microvasc Res 2019; 125: 103874, DOI: 10.1016/j.mvr.2019.04.004.
 
8.
Pizzorni C, Sulli A, Paolino S, et al. Progression of organ involvement in systemic sclerosis patients with persistent “Late” nailfold capillaroscopic pattern of microangiopathy: a prospective study. J Rheumatol 2017; 44: 1941–1942, DOI: 10.3899/jrheum.170485.
 
9.
Ruaro B, Casabella A, Paolino S, et al. Correlation between bone quality and microvascular damage in systemic sclerosis patients. Rheumatology (Oxford) 2018; 57: 1548–1554, DOI: 10.1093/rheumatology/key130.
 
10.
Hajas A, Szodoray P, Nakken B, et al. Clinical course, prognosis, and causes of death in mixed connective tissue disease. J Rheumatol 2013; 40: 1134–1142, DOI: 10.3899/jrheum.121272.
 
11.
Bernardino V, Rodrigues A, Lladó A, Panarra A. Nailfold capillaroscopy and autoimmune connective tissue diseases in patients from a Portuguese nailfold capillaroscopy clinic. Rheumatol Int 2020; 40: 295–301, DOI: 10.1007/s00296-019-04427-0.
 
12.
Ji LL, Wang H, Zang XH, Zhang ZL. Correlation between nailfold capillaroscopic findings and presence of interstitial lung disease in systemic sclerosis patients. Beijing Da Xue Xue Bao Yi Xue Ban 2018; 50: 501–506 [Article in Chinese].
 
13.
Bredemeier M, Xavier RM, Capobianco K, et al. Nailfold capillaroscopy can suggest pulmonary disease activity in systemic sclerosis. J Rheumatol 2004; 31: 286–294.
 
14.
Corrado A, Correale M, Mansueto N, et al. Nailfold capillaroscopic changes in patients with idiopathic pulmonary arterial hypertension and systemic sclerosis-related pulmonary arterial hypertension. Microvasc Res 2017; 114: 46–51, DOI: 10.1016/j.mvr.2017.06.005.
 
15.
Paolino S, Ferrari G, Pizzorni C, et al. Long-term follow-up of nailfold videocapillaroscopic microvascular parameters in mixed connective tissue disease versus systemic sclerosis patients: a retrospective cohort study. Clin Exp Rheumatol 2019; 37 (Suppl 119): 102–107.
 
16.
Lambova, SN, Müller-Ladner U. The role of capillaroscopy in differentiation of primary and secondary Raynaud’s phenomenon in rheumatic diseases: a review of the literature and two case reports. Rheumatology Int 2009; 29: 1263–1271, DOI: 10.1007/s00296-009-1019-z.
 
17.
Celińska-Löwenhoff M, Pastuszczak M, Pełka, et al. Associations between nailfold capillaroscopy findings and interstitial lung disease in patients with mixed connective tissue disease. Arch Med Sci 2019; 16: 297–301, DOI: 10.5114/aoms.2018.81129.
 
18.
Cortes S, Clemente-Coelho P. Nailfold capillaroscopy in the evaluation of Raynaud’s phenomenon and undifferentiated connective tissue disease. Acta Reumatol Port 2008; 33: 203–209 [Article in Portuguese].
 
19.
Wu PC, Huang MN, Kuo YM, et al. Clinical applicability of quantitative nailfold capillaroscopy in differential diagnosis of connective tissue diseases with Raynaud’s phenomenon. J Formos Med Assoc 2013; 112: 482–488, DOI: 10.1016/j.jfma.2012.02.029.
 
20.
Manfredi A, Sebastiani M, Cassone G, et al. Nailfold capillaroscopic changes in dermatomyositis and polymyositis. Clin Rheumatol 2015; 34: 279–284, DOI: 10.1007/s10067-014-2795-8.
 
21.
Chojnowski MM, Nałęcz-Janik J. Regression of microangio­pathy in anti-synthetase syndrome. Rheumatology (Oxford) 2017; 56: 724, DOI: 10.1093/rheumatology/kew425.
 
22.
Khanna D, Gladue H, Channick R, et al. Recommendations for screening and detection of connective tissue disease-asso­ciated pulmonary arterial hypertension. Arthritis Rheum 2013; 65: 3194–3201, DOI: 10.1002/art.38172.
 
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