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AB0201 Capillaroscopic examination in arthritis psoriatica
  1. Z Tarján,
  2. É Koó,
  3. I Ujfalussy
  1. II. Rheumatology, Polyclinic of the Hospitaller Brothers of St. John of God in Budapest, Hungary, Budapest, Hungary

Abstract

Background The capillaroscopic examination gives a possibility to find a correlation between the groups of ilnesses and the change of microcirculation based on a non-invasive method. In the publications are mentioned very seldom that decrease of the capillary loops’ length and diameter, the twisting of venous side and the decrease of capillaries’ density are the fundamental variables in the case of capillaroscopic examination of Arthritis Psoriatica’s (AP) patients.

Objectives The study was made on 34 verified AP’s patients (20 male, 14 female) selected by the basis of the ARA’s criterias in the authors Department of AP Outpatient. Dysqualifying criteria were the metabolic diseases, the cardiovascular diseases and smoking.

Methods The period of psoriasis and arthritis was studied, and the capillary was classified on the basis of morphological criterias (hairpin-shaped, spiral, and bushy appearance) their lengthened and extended forms (arterial and venous side, the length of apical region), the density of capillaries, tearness and continousness of flow. Leitz’s microscope was used for examination (35x magnification, max. 100x). The nailfold was lightened with cold light, further the paraffin oil was used to the surface.

Results It was found that the period of dermatological symptoms are proportional to the number of spiral form of capillaries (r = 0.371, p < 0.05). The length and width of capillaries were independent from the dermatological and arthritic symptoms (NS = p 0.05). In the case of lengthened frame, the number of bushy forms were less than the others. Then the number of the capillaries loops were decreased (p < 0.05).

Conclusion It is accepted in general, that the decrease of the capillaries’s numbers as well as the morphological changes -as a typical form of the AP’s patients -are in correlation significantly with the period of psoriasis. Disagrees with others previous publications, the authors did not find significant difference in the size of capillary loops comparing to the normal control.

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