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Nailfold Capillaroscopy

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Scleroderma

Abstract

In 1663, Johan Christophorous Kolhaus was the first clinician to use a primitive microscope to observe the small blood vessels surrounding the nails and Giovanni Rasori (1766–1873), using a magnifying glass, first described the close relationship between conjunctival inflammation and the presence of an “inextricable knot of capillary loops.” (Cutolo M. Capillaroscopy in Rheumatic Diseases. From the XVIII to the XXI Century. In: Cutolo M, editor. Atlas of capillaroscopy in Rheumatic Diseases, vol. 1. 1st ed. Milano: Elsevier; 2010. p. 3–5.)

From the time that Maurice Raynaud (1834–1881) presented his thesis in Paris (1862) on local ischemic damage of the hands, feet, nose, and tongue, the intravital capillary microscopy (or capillaroscopy) became recognized as the best investigation to identify and analyze microvascular involvement, which is the key feature of Raynaud’s phenomenon (RP).

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Correspondence to Maurizio Cutolo MD .

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Cutolo, M., Smith, V. (2012). Nailfold Capillaroscopy. In: Varga, J., Denton, C., Wigley, F. (eds) Scleroderma. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-5774-0_27

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