Nailfold Capillaroscopy Findings in Patients With Psoriasis Vulgaris and Different Domains of Psoriatic Arthritis.

Elmesiry, Amal M; Mahmoud, Sobhia A; Mohamed, Maha S; Aly, Hany; Elmotaleb, Yasser A; Ghit, Mohamad M; Ibrahim, Amira Shahin; Elazab, Seham A; Mokhtar, Mona; Rageh, Eman A; Moussa, Mai A; Ismail, Sherif; El Zokm, Saad M; Hamoud, Hesham

Elmesiry, Amal M; Mahmoud, Sobhia A; Mohamed, Maha S; Aly, Hany; Elmotaleb, Yasser A; Ghit, Mohamad M; Ibrahim, Amira Shahin; Elazab, Seham A; Mokhtar, Mona; Rageh, Eman A; Moussa, Mai A; Ismail, Sherif; El Zokm, Saad M; Hamoud, Hesham.

Afiliação

Elmesiry AM; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Mahmoud SA; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Mohamed MS; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Aly H; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Elmotaleb YA; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Ghit MM; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Ibrahim AS; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Elazab SA; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Mokhtar M; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Rageh EA; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Moussa MA; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Ismail S; Department of Rheumatology, Physical Medicine and Rehabilitation, National Research Center, Cairo, Egypt.
El Zokm SM; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.
Hamoud H; Department of Rheumatology and Rehabilitation, Al-Azhar University, Cairo, Egypt.

J Psoriasis Psoriatic Arthritis ; 9(3): 89-97, 2024 Jul.

Article em En | MEDLINE | ID: mdl-39301215

ABSTRACT

ABSTRACT

Background:

Psoriasis is a chronic autoimmune disease with longtime activity and multisystem affection. Nailfold capillaroscopy (NC) is a simple noninvasive microscopic tool useful for identification of nailfold microvasculopathy.

Objective:

The present study aimed to compare NC findings in patients with psoriasis vulgaris (PsV) and psoriatic arthritis (PsA) with different clinical domains.

Methods:

The present cross-sectional study included 200 psoriasis patients classified into five 40-patient groups group I (GI) included PsA patients with predominant peripheral arthritis; group II (GII) included PsA patients with predominant peripheral arthritis and dactylitis and/or enthesitis; group III (GIII) included PsA patients with predominant axial affection; group IV (GIV) patients included PsA patients with predominant axial affection and dactylitis and/or enthesitis and group V (GV) included patients with PsV. In addition, there were 40 age and sex-matched healthy controls (GVI).

Results:

The studied patients had capillary density of 6.7 ± 3.5/mm with 90 patients (45.0 %) having reduced capillary density. GI-GIV patients had significantly lower capillary density and higher frequency of patients with reduced capillary density as compared to GV patients. The reported capillary dimension in the studied patients is 15.7 ± 7.9 µm and 55 patients (27.5 %) had large/giant capillaries. Patients in GV had significantly lower capillary dimension in comparison to GI-GIV patients. There were 64 patients (32.0 %) with abnormal capillary morphology and 47 patients (23.5 %) with capillary hemorrhages.