Capillaroscopy in systemic sclerosis (SSc)

SSc is the prototype disease with a pattern recognisable on capillaroscopy.

Relevant diagnoses:

SSc and the SSc spectrum; capillaroscopy is part of the ACR/EULAR criteria and VEDOSS (very early SSc).

What is seen (findings in brief)

The scleroderma pattern by phase:

• Early: megacapillaries, isolated haemorrhages
• Active: avascular areas, more haemorrhages
• Late: marked capillary loss, neoangiogenesis, chaotic architecture

How often to have a check-up

• Early/active: 3–6 months
• Stable/late: 6–12 months

Summary

A powerful diagnostic and prognostic tool in SSc, especially for early detection and monitoring.