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10.1016/j.mvr.2020.104071

http://scihub22266oqcxt.onion/10.1016/j.mvr.2020.104071
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suck abstract from ncbi


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pmid32949574      Microvasc+Res 2021 ; 133 (ä): 104071
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  • Nailfold capillaroscopy findings in patients with coronavirus disease 2019: Broadening the spectrum of COVID-19 microvascular involvement #MMPMID32949574
  • Natalello G; De Luca G; Gigante L; Campochiaro C; De Lorenzis E; Verardi L; Paglionico A; Petricca L; Martone AM; Calvisi S; Ripa M; Cavalli G; Della-Torre E; Tresoldi M; Landi F; Bosello SL; Gremese E; Dagna L
  • Microvasc Res 2021[Jan]; 133 (ä): 104071 PMID32949574show ga
  • OBJECTIVE: Increasing evidence points to endothelial dysfunction as a key pathophysiological factor in coronavirus disease-2019 (COVID-19). No specific methods have been identified to predict, detect and quantify the microvascular alterations during COVID-19. Our aim was to assess microvasculature through nailfold videocapillaroscopy (NVC) in COVID-19 patients. METHODS: We performed NVC in patients with a confirmed diagnosis of COVID-19 pneumonia. Elementary alterations were reported for each finger according to a semi-quantitative score. Capillary density, number of enlarged and giant capillaries, number of micro-hemorrhages and micro-thrombosis (NEMO score) were registered. RESULTS: We enrolled 82 patients (mean age 58.8 +/- 13.2 years, male 68.3%) of whom 28 during the hospitalization and 54 after recovery and hospital discharge. At NVC examination we found abnormalities classifiable as non-specific pattern in 53 patients (64.6%). Common abnormalities were pericapillary edema (80.5%), enlarged capillaries (61.0%), sludge flow (53.7%), meandering capillaries and reduced capillary density (50.0%). No pictures suggestive of scleroderma pattern have been observed. Acute COVID-19 patients, compared to recovered patients, showed a higher prevalence of hemosiderin deposits as a result of micro-hemorrhages (P = .027) and micro-thrombosis (P < .016), sludge flow (P = .001), and pericapillary edema (P < .001), while recovered patients showed a higher prevalence of enlarged capillaries (P < .001), loss of capillaries (P = .002), meandering capillaries (P < .001), and empty dermal papillae (P = .006). CONCLUSION: COVID-19 patients present microvascular abnormalities at NVC. Currently ill and recovered subjects are characterized by a different distribution of elementary capillaroscopic alterations, resembling acute and post-acute microvascular damage. Further studies are needed to assess the clinical relevance of NVC in COVID-19.
  • |*Microscopic Angioscopy[MESH]
  • |Aged[MESH]
  • |COVID-19/*complications/diagnosis/therapy[MESH]
  • |Capillaries/*pathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nails/*blood supply[MESH]
  • |Predictive Value of Tests[MESH]


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