儿科风湿病医生日常门诊中的毛细血管镜检查。

IF 4.5 2区医学 Q1 RHEUMATOLOGY

Best Practice & Research in Clinical Rheumatology Pub Date : 2024-09-01 DOI:10.1016/j.berh.2024.101978

D. Schonenberg-Meinema , M. Cutolo , V. Smith

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引用次数: 0

摘要

近十年来，甲襞毛细血管镜检查正逐渐进入（儿科）风湿免疫科医生的日常门诊。本综述将为临床医生在儿童中进行这种简便、无创的检查提供必要的知识。第一部分将介绍毛细血管镜设备类型的背景信息，以及与健康儿科对照组相比，不同毛细血管变量的标准化（国际验证）解释。第二部分重点介绍在雷诺现象中观察到的毛细血管变化以及后续建议。这一部分还将介绍幼年系统性硬化症、儿童期系统性红斑狼疮、幼年皮肌炎和混合性结缔组织病的毛细血管镜检查结果，以及与疾病严重程度的相关性。最后，研究议程显示了我们目前在小儿结缔组织疾病的甲沟毛细血管镜检查方面的知识空白。

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Capillaroscopy in the daily clinic of the pediatric rheumatologist

In the last decade, nailfold capillaroscopy is finding its way to the daily clinic of (pediatric) rheumatologist. This review will provide the necessary knowledge for the clinician performing this easy and non-invasive examination in children. In the first part, background information on type of capillaroscopy device and standardized (internationally validated) interpretations for the different capillary variables compared to healthy pediatric controls will be provided. The second part focusses on capillary changes that are observed in Raynaud's phenomenon with follow-up recommendations. This part will also cover capillaroscopy findings in juvenile systemic sclerosis, childhood-onset systemic lupus erythematosus, juvenile dermatomyositis and –mixed connective tissue disease, as well as correlations with disease severity. Lastly, a research agenda shows the current gaps we have in knowledge in this niche of nailfold capillaroscopy in pediatric connective tissue diseases.

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来源期刊

Best Practice & Research in Clinical Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

0.00%

发文量

审稿时长

27 days

期刊介绍： Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.