Pediatric rheumatology

Nailfold videocapillaroscopy in patients with deficiency of adenosine deaminase 2 (DADA2): a case-control study

Pediatr Rheumatol Online JPublished Case-control study

Authors' conclusion

Only non-specific abnormalities were found, characterized mainly by capillaries' dilations, but in the absence of giant capillaries.

Study context

Population
DADA2 patients (mean age 18 ± 6 y) followed at the Children Gaslini Institute
Participants
9 / 11 / 7
Comparison
DADA2 patients vs healthy controls and primary raynaud's phenomenon (RP) patients
  • DADA2n = 9
  • Healthy controls (HC)n = 11reference
  • Primary RPn = 7reference
Outcome
Microvascular status by nailfold videocapillaroscopy (NVC) (EULAR SG Fast Track Algorithm: scleroderma vs non-scleroderma patterns)
Methodological detailsretrospective, age and sex matched, single-centre
  • Retrospective
  • Age and sex matched
  • Single-centre

Main finding

As reported in the abstract

NVC findings in DADA2
GroupNon-specific alterationsCapillaries with dilationsAbnormal shapesMicrohaemorrhages
DADA2all patients100%23%11%

DADA2

Non-specific alterationsall patients
Capillaries with dilations100%
Abnormal shapes23%
Microhaemorrhages11%
  • DADA2 vs Primary RP; HC: p values NS — no significant differences in the rate of each microvascular finding

Observational data: associations, not effects.

Original publication

Nailfold videocapillaroscopy in patients with deficiency of adenosine deaminase 2 (DADA2): a case-control study. Pediatr Rheumatol Online J. Published 23 May 2025. doi:10.1186/s12969-025-01104-4

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