Nailfold capillaroscopy in Sjögren's syndrome: a systematic literature review and standardised interpretation.
Clin Exp Rheumatol
; 38 Suppl 126(4): 150-157, 2020.
Article
in En
| MEDLINE
| ID: mdl-33025880
ABSTRACT
OBJECTIVES:
To identify the role of nailfold capillaroscopy (NC) in Sjögren's syndrome (SS).METHODS:
The literature was systematically reviewed in three databases. All published original studies which assess patients with SS by NC were revised. A quality assessment was applied to all studies based on population description, presence of a control group, presence of instrumental specifications and/or standardly applied NC methodology, presence of clear descriptions of capillaroscopic characteristics and based on the used statistical analysis. The capillaroscopic findings per study were described in a EULAR consented standardised way. Significant associations of capillaroscopic characteristics in SS patients with clinical and laboratory variables were summarised.RESULTS:
The search resulted in 869 hits. Based on title and abstract screening 29 original studies were identified and of these, 14 full texts described an assessment by NC in SS. Seven studies were retained after performing a critical quality assessment. One study compared NC in SS with healthy controls and attested a lower capillary density in SS. Concerning clinical associations, capillary density was associated with Raynaud's phenomenon in two studies and with interstitial lung disease or systemic manifestations in one study each. No association between serologic features (anti-nuclear antibodies, anti-SSA, anti-SSB and anti-RF) and NC characteristics were found.CONCLUSIONS:
A small number of studies have investigated the role of NC in SS. More studies, including prospective follow up studies with standard NC evaluation in SS are needed.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Raynaud Disease
/
Sjogren's Syndrome
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Clin Exp Rheumatol
Year:
2020
Type:
Article
Affiliation country:
Belgium