Inflammatory myopathies

Nailfold videocapillaroscopy abnormalities in autoimmune inflammatory myopathy subsets

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Dermatomyositis, scleromyositis and anti-synthetase syndrome showed frequent NVC abnormalities, although no NVC pattern was associated with a particular subset in our study.

Study context

Population
Autoimmune inflammatory myopathies (AIM) subjects from the Canadian Inflammatory Myopathy Study (CIMS), a prospective cohort; 71% female, median disease duration 1 year71% female
Participants
99 subjects
Exposure
Nailfold videocapillaroscopy (NVC) features and patterns compared between AIM subsets
  • Dermatomyositisn = 41
  • Scleromyositisn = 24
  • Anti-synthetase syndromen = 16
  • Immune-mediated necrotizing myopathyn = 7
  • Inclusion body myositisn = 8
  • Polymyositisn = 3
Outcome
NVC abnormalities (capillary density, ectasias, giant and ramified capillaries, microhaemorrhages, NVC patterns) in AIM subsets
Methodological detailsprospective cohort (CIMS), clinico-sero-pathological approach
  • Prospective cohort (CIMS)
  • Clinico-sero-pathological approach

Main finding

As reported in the abstract

Decreased capillary density (most frequent NVC abnormality)
NVC abnormalities absent in IMNM, IBM and PM
0

Observational data: associations, not effects.

Original publication

Nailfold videocapillaroscopy abnormalities in autoimmune inflammatory myopathy subsets. Rheumatology (Oxford). Published 5 November 2025. doi:10.1093/rheumatology/keaf594

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