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90165

Nail Fold Capillaroscopy Abnormality in Behcet's Disease and Relation to Disease Activity among Egyptian Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Behcet's disease is a systemic autoimmune disease. Treatment mainly is immunosuppression.
It has no sure diagnostic tests and relies mainly on clinical diagnosis. There are few scores to assess Behcet's disease activity (Behcet's Disease Current Activity Form) BDCAF score. Nailfold Capillaroscopy is a technique to visualize capillaries in nailfold area. It can correlate many diseases with the abnormalities in shape of blood capillaries. Objectives: The aim of the work was to find out Nail Fold Capillaroscopy abnormality in Behcet's Disease and its relation to the disease activity.
Patients and Methods: A cross sectional-case control study which was done on 50 Behcet's patients and 30 healthy controls. We assessed nailfold capillaroscopic changes in Behcet's patients in comparison to controls and the correlation of BDCAF score with nailfold capillary abnormalities.
Results: we found that 70% of Behcet's Disease patients had nailfold capillaroscopy abnormalities , a highly statistically significant changes in the capillaries in the form of capillary dilatation (24%), hemorrhage (54%), tortuosity (64%) in comparison to the control group (P<0.001). However, pattern was not specific as BDCAF Score wasn't related to the capillary changes.
Conclusion: Nailfold capillaroscopy showed nonspecific pattern in 70% Behcet's disease patients. Tortuosity, hemorrhages, dilation were not related to disease activity. Capillaroscopy is a good primary test for Bechet's disease and can reflect the presence and extent of microvascular involvement and thereby might have diagnostic and prognostic value.

DOI

10.21608/ejhm.2020.90165

Keywords

Nail Fold Capillaroscopy Abnormality, Behcet's Disease

Authors

First Name

Shafica

Last Name

Ibrahim

MiddleName

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Affiliation

Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

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Orcid

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First Name

Magdeldin N

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

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City

-

Orcid

-

First Name

Rasha Mahmoud

Last Name

Hammoda

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

rasha.hammoda80@gmail.com

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Orcid

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Volume

80

Article Issue

1

Related Issue

13031

Issue Date

2020-07-01

Receive Date

2020-05-17

Publish Date

2020-07-01

Page Start

608

Page End

614

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 80_Issue 1_Pages 608-614.pdf

PDF . 443.8kB

Link

https://ejhm.journals.ekb.eg/article_90165.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=90165

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Nail Fold Capillaroscopy Abnormality in Behcet's Disease and Relation to Disease Activity among Egyptian Patients

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Article

Created At

22 Jan 2023