DOI QR코드

DOI QR Code

Methods for the morphological and functional evaluation of microvascular damage in systemic sclerosis

  • Ruaro, Barbara (Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova) ;
  • Smith, Vanessa (Department of Rheumatology, Ghent University Hospital) ;
  • Sulli, Alberto (Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova) ;
  • Decuman, Saskia (Department of Rheumatology, Ghent University Hospital) ;
  • Pizzorni, Carmen (Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova) ;
  • Cutolo, Maurizio (Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova)
  • 투고 : 2014.08.29
  • 심사 : 2014.11.10
  • 발행 : 2015.01.01

초록

Systemic sclerosis is a connective tissue disease characterized by alterations in microvascular structure and function. In these patients, numerous studies have demonstrated a relationship between capillary morphology and peripheral blood perfusion. Nailfold videocapillaroscopy reveals the peripheral microvascular morphology and thus allows classification and scoring of capillary abnormalities with respect to different microangiopathy patterns (early, active, and late). Laser Doppler f lowmetry and laser speckle contrast analysis can be used to estimate cutaneous blood flow through microvessels and to assess and quantify blood perfusion at peripheral sites. These two methods are also used to identify changes in digital blood perfusion after the infusion of vasodilators.

키워드

참고문헌

  1. Gabrielli A, Avvedimento EV, Krieg T. Scleroderma. N Engl J Med 2009;360:1989-2003. https://doi.org/10.1056/NEJMra0806188
  2. Derk CT, Jimenez SA. Systemic sclerosis: current views of its pathogenesis. Autoimmun Rev 2003;2:181-191. https://doi.org/10.1016/S1568-9972(03)00005-3
  3. Cutolo M, Grassi W, Matucci Cerinic M. Raynaud's phenomenon and the role of capillaroscopy. Arthritis Rheum 2003;48:3023-3030. https://doi.org/10.1002/art.11310
  4. Cutolo M, Sulli A, Smith V. Assessing microvascular changes in systemic sclerosis diagnosis and management. Nat Rev Rheumatol 2010;6:578-587. https://doi.org/10.1038/nrrheum.2010.104
  5. Cutolo M, Pizzorni C, Sulli A. Nailfold video-capillaroscopy in systemic sclerosis. Z Rheumatol 2004;63:457-462. https://doi.org/10.1007/s00393-004-0673-5
  6. Smith V, Pizzorni C, De Keyser F, et al. Reliability of the qualitative and semiquantitative nailfold videocapillaroscopy assessment in a systemic sclerosis cohort: a two-centre study. Ann Rheum Dis 2010;69:1092-1096. https://doi.org/10.1136/ard.2009.115568
  7. Roustit M, Cracowski JL. Assessment of endothelial and neurovascular function in human skin microcirculation. Trends Pharmacol Sci 2013;34:373-384. https://doi.org/10.1016/j.tips.2013.05.007
  8. Cutolo M, Ferrone C, Pizzorni C, Soldano S, Seriolo B, Sulli A. Peripheral blood perfusion correlates with microvascular abnormalities in systemic sclerosis: a laser-Doppler and nailfold videocapillaroscopy study. J Rheumatol 2010;37:1174-1180. https://doi.org/10.3899/jrheum.091356
  9. Draijer M, Hondebrink E, van Leeuwen T, Steenbergen W. Review of laser speckle contrast techniques for visualizing tissue perfusion. Lasers Med Sci 2009;24:639-651. https://doi.org/10.1007/s10103-008-0626-3
  10. Della Rossa A, Cazzato M, d'Ascanio A, et al. Alteration of microcirculation is a hallmark of very early systemic sclerosis patients: a laser speckle contrast analysis. Clin Exp Rheumatol 2013;31(2 Suppl 76):109-114.
  11. Ruaro B, Sulli A, Alessandri E, Pizzorni C, Ferrari G, Cutolo M. Laser speckle contrast analysis: a new method to evaluate peripheral blood perfusion in systemic sclerosis patients. Ann Rheum Dis 2014;73:1181-1185. https://doi.org/10.1136/annrheumdis-2013-203514
  12. Sulli A, Soldano S, Pizzorni C, et al. Raynaud's phenomenon and plasma endothelin: correlations with capil-laroscopic patterns in systemic sclerosis. J Rheumatol 2009;36:1235-1239. https://doi.org/10.3899/jrheum.081030
  13. Kahaleh MB. Raynaud phenomenon and the vascular disease in scleroderma. Curr Opin Rheumatol 2004;16:718-722. https://doi.org/10.1097/01.bor.0000138677.88694.a4
  14. Smith V, Pizzorni C. The videocapillaroscopic technique. In: Cutolo M, Smith V, Sulli A, eds. Atlas of Capillaroscopy in Rheumatic Diseases. Milano: Elsevier Srl, 2010:25-31.
  15. Smith V, Cutolo M. When and how to perform the capillaroscopy. In: Cutolo M, Smith V, Sulli A, eds. Atlas of Capillaroscopy in Rheumatic Diseases. Milano: Elsevier Srl, 2010:33-45.
  16. De Angelis R, Cutolo M, Salaffi F, Restrepo JP, Grassi W. Quantitative and qualitative assessment of one rheumatology trainee's experience with a self-teaching programme in videocapillaroscopy. Clin Exp Rheumatol 2009;27:651-653.
  17. De Angelis R, Grassi W, Cutolo M. A growing need for capillaroscopy in rheumatology. Arthritis Rheum 2009;61:405-410. https://doi.org/10.1002/art.24274
  18. Carpentier PH, Maricq HR. Microvasculature in systemic sclerosis. Rheum Dis Clin North Am 1990;16:75-91.
  19. Cutolo M, Sulli A, Secchi ME, Olivieri M, Pizzorni C. The contribution of capillaroscopy to the differential diagnosis of connective autoimmune diseases. Best Pract Res Clin Rheumatol 2007;21:1093-1108. https://doi.org/10.1016/j.berh.2007.10.001
  20. Cutolo M, Pizzorni C, Secchi ME, Sulli A. Capillaroscopy. Best Pract Res Clin Rheumatol 2008;22:1093-1108. https://doi.org/10.1016/j.berh.2008.09.001
  21. Sulli A, Secchi ME, Pizzorni C, Cutolo M. Scoring the nailfold microvascular changes during the capillaroscopic analysis in systemic sclerosis patients. Ann Rheum Dis 2008;67:885-887. https://doi.org/10.1136/ard.2007.079756
  22. Smith V, Riccieri V, Pizzorni C, et al. Nailfold capillaroscopy for prediction of novel future severe organ involvement in systemic sclerosis. J Rheumatol 2013;40:2023-2028. https://doi.org/10.3899/jrheum.130528
  23. Hofstee HM, Voskuyl AE, Vonk Noordegraaf A, et al. Pulmonary arterial hypertension in systemic sclerosis is associated with profound impairment of microvascular endothelium-dependent vasodilatation. J Rheumatol 2012;39:100-105. https://doi.org/10.3899/jrheum.110397
  24. van den Hoogen F, Khanna D, Fransen J, et al. 2013 Classification criteria for systemic sclerosis: an American College of Rheumatology/European League against Rheumatism collaborative initiative. Arthritis Rheum 2013;65:2737-2747. https://doi.org/10.1002/art.38098
  25. Cutolo M, Zampogna G, Vremis L, Smith V, Pizzorni C, Sulli A. Longterm effects of endothelin receptor antagonism on microvascular damage evaluated by nailfold capillaroscopic analysis in systemic sclerosis. J Rheumatol 2013;40:40-45. https://doi.org/10.3899/jrheum.120416
  26. Herrick AL, Hutchinson C. Vascular imaging. Best Pract Res Clin Rheumatol 2004;18:957-979. https://doi.org/10.1016/j.berh.2004.06.004
  27. Binaghi F, Cannas F, Mathieu A, Pitzus F. Correlations among capillaroscopic abnormalities, digital flow and immunologic findings in patients with isolated Raynaud's phenomenon: can laser Doppler flowmetry help identify a secondary Raynaud phenomenon? Int Angiol 1992;11:186-194.
  28. Wigley FM, Wise RA, Mikdashi J, Schaefer S, Spence RJ. The post-occlusive hyperemic response in patients with systemic sclerosis. Arthritis Rheum 1990;33:1620-1625. https://doi.org/10.1002/art.1780331103
  29. Gunawardena H, Harris ND, Carmichael C, McHugh NJ. Maximum blood flow and microvascular regulatory responses in systemic sclerosis. Rheumatology (Oxford) 2007;46:1079-1082. https://doi.org/10.1093/rheumatology/kem085
  30. Cutolo M, Ruaro B, Pizzorni C, et al. Longterm treatment with endothelin receptor antagonist bosentan and iloprost improves fingertip blood perfusion in systemic sclerosis. J Rheumatol 2014;41:881-886. https://doi.org/10.3899/jrheum.131284
  31. Sulli A, Ruaro B, Cutolo M. Evaluation of blood perfusion by laser speckle contrast analysis in different areas of hands and face in patients with systemic sclerosis. Ann Rheum Dis 2014;73:2059-2061. https://doi.org/10.1136/annrheumdis-2014-205528
  32. Murray AK, Moore TL, Manning JB, Taylor C, Griffiths CE, Herrick AL. Noninvasive imaging techniques in the assessment of scleroderma spectrum disorders. Arthritis Rheum 2009;61:1103-1111. https://doi.org/10.1002/art.24645
  33. Rosato E, Rossi C, Molinaro I, Giovannetti A, Pisarri S, Salsano F. Laser Doppler perfusion imaging in systemic sclerosis impaired response to cold stimulation involves digits and hand dorsum. Rheumatology (Oxford) 2011;50:1654-1658. https://doi.org/10.1093/rheumatology/ker188
  34. Cutolo M, Smith V, Sulli A. Training in capillaroscopy: a growing interest. J Rheumatol 2012;39:1113-1116. https://doi.org/10.3899/jrheum.120082

피인용 문헌

  1. Nailfold capillary abnormalities are associated with type 2 diabetes progression and correlated with peripheral neuropathy vol.95, pp.52, 2015, https://doi.org/10.1097/md.0000000000005714
  2. In-vivo imaging of the microvasculature of the soft tissue margins of osteonecrotic jaw lesions vol.223, pp.9, 2015, https://doi.org/10.1038/sj.bdj.2017.888
  3. Combined platelet-rich plasma and lipofilling treatment provides great improvement in facial skin-induced lesion regeneration for scleroderma patients vol.8, pp.1, 2015, https://doi.org/10.1186/s13287-017-0690-3
  4. Early sign of microangiopathy in systemic sclerosis: The significance of cold stress test in dynamic laser Doppler flowmetry vol.71, pp.3, 2019, https://doi.org/10.3233/ch-180419
  5. New Approaches to Scaffold Biocompatibility Assessment vol.9, pp.2, 2015, https://doi.org/10.1007/s12668-019-00613-3
  6. The Relationship Between 99mTc-Pertechnetate Hand Perfusion Scintigraphy and Nailfold Capillaroscopy in Systemic Sclerosis Patients: A Pilot Study vol.35, pp.3, 2015, https://doi.org/10.46497/archrheumatol.2020.7730