Systemic sclerosis & Raynaud's

Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients

RMD OpenPublished Retrospective multicentre cross-sectional study

Authors' conclusion

LC pts show more microvascular alterations at NVC as compared with RC patients and CNT, which may contribute to the pathogenesis of persistent organ/systems dysfunction.

Study context

Population
Long covid patients without and with SSc, recovered COVID-19 patients and healthy matched controls who underwent nailfold videocapillaroscopy (NVC), Italian Society of Rheumatology study group
Participants
62 / 24 / 23 / 84
Exposure
Long covid without and with SSc vs recovered COVID-19 without long covid vs healthy matched controls
  • Non-SSc-LCn = 62
  • SSc-LCn = 24
  • RCn = 23
  • CNTn = 84reference
Outcome
NVC abnormalities, non-SSc-LC vs CNT and RC
Methodological detailsnational, healthy matched controls, multivariate analysis, pre- vs post-COVID-19 comparison
  • National
  • Healthy matched controls
  • Multivariate analysis
  • Pre- vs post-COVID-19 comparison

Main finding

As reported in the abstract

  • Non-SSc-LC vs CNT: P < 0.01, p multivariate<0.01
  • Non-SSc-LC vs CNT: P = 0.01, p multivariate<0.05
  • Non-SSc-LC vs CNT: P < 0.05, p multivariate<0.05
  • Non-SSc-LC vs RC: P < 0.01, p multivariate<0.01
  • Non-SSc-LC vs CNT: P < 0.01, p multivariate<0.05

Observational data: associations, not effects.

Further findings

NVC after vs before COVID-19, non-SSc-LC (16 pts)

More dilated capillaries after COVID-19 vs pre-COVID-19
P < 0.05
More microhaemorrhages after COVID-19 vs pre-COVID-19
P < 0.05

NVC after vs before COVID-19, SSc-LC (24 pts)

Lower capillary density after COVID-19 vs pre-COVID-19
P = 0.01
More dilated capillaries after COVID-19 vs pre-COVID-19
P < 0.01

Original publication

Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients. RMD Open. Published 28 April 2025. doi:10.1136/rmdopen-2025-005469

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