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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Immunol+Res
2015 ; 2015
(ä): 371960
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Uniphasic Blanching of the Fingers, Abnormal Capillaroscopy in Nonsymptomatic
Digits, and Autoantibodies: Expanding Options to Increase the Level of Suspicion
of Connective Tissue Diseases beyond the Classification of Raynaud s Phenomenon
#MMPMID26075287
Ingegnoli F
; Gualtierotti R
; Orenti A
; Schioppo T
; Marfia G
; Campanella R
; Mastaglio C
; Meroni PL
; Boracchi P
J Immunol Res
2015[]; 2015
(ä): 371960
PMID26075287
show ga
In patients with Raynaud's phenomenon (RP), the role of medical history,
capillaroscopy, and autoantibodies in order to provide an early diagnosis of
connective tissue disease (CTD) were examined. 115 consecutive adults with uni-,
bi-, or triphasic colour changes of the fingers were studied. RP was bilateral in
92.7% of patients. The middle finger was significantly more affected. A lack of
association between fingers affected by RP and fingers with capillary
abnormalities was observed OR = 0.75 (0.34-1.66). RP with the cyanotic phase had
a higher risk at capillaroscopy to have hemorrhages OR = 4.46 (1.50-13.30) and
giant capillaries OR = 24.85 (1.48-417.44). The thumb and triphasic involvement
have an OR of 1.477 and 1.845, respectively. RP secondary to systemic sclerosis
(SSc) had greater value of VAS pain (p = 0.011). The presence of anti-centromere
antibodies was significantly associated with a higher risk of SSc (p < 0.001).
44.3% of subjects had uniphasic blanching of the fingers, and among these, 27%
was diagnosed as having an overt or suspected CTD. Markers of a potential
development of CTDs include severe RP symptoms, positive autoantibodies, and
capillary abnormalities. These data support the proposal to not discharge
patients with uniphasic blanching of the fingers to avoid missing the opportunity
of an early diagnosis.