Lupus & antiphospholipid syndrome

Distinct changes in nailfold capillaries are associated with the clinical and serological features of patients with systemic lupus erythematosus

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Capillaroscopic alterations are common in patients with SLE, and capillary ramifications and dilations are linked to distinct SLE phenotypes.

Study context

Population
Patients with systemic lupus erythematosus (SLE) (median SLEDAI 6, IQR 3–10)
Participants
56 patients
Exposure
Nailfold videocapillaroscopy (NVC) clusters: ramification-dominated vs dilatation-dominated vs unspecific reference cluster
  • Ramificationsn = 16
  • Dilationsn = 10
Outcome
Association of distinct NVC patterns with distinct SLE phenotypes
Methodological detailshierarchical cluster analysis of principal components, multinomial logistic regression
  • Hierarchical cluster analysis of principal components
  • Multinomial logistic regression

Main finding

As reported in the abstract

Ramifications
66%
Disorganisation
89%
Tortuous appearance
75%
Low density
86%
Meandering appearance
52%
Dilatations
23%
Microhaemorrhages
29%

Observational data: associations, not effects.

Original publication

Distinct changes in nailfold capillaries are associated with the clinical and serological features of patients with systemic lupus erythematosus. Semin Arthritis Rheum. Published 10 November 2025. doi:10.1016/j.semarthrit.2025.152871

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