Scleroderma Classification - Finger Nailbed - Diagnostic Tool

Are you examining the capillaries in the nailbed of a finger using widefield microscopy?

Yes

Does the capillaries in the nailbed show?

• enlarged loops?

Yes

• loss of capillaries?

Yes

• a disorderly pattern?

Yes

• distortion and budding?

Yes

Select the appropriate answer for each finding

Capillary loop in nailfold

Capillary loop in other sites of the bed

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings of the SD pattern identified

Does the patient have the SD pattern?

Class of microscopic capillary changes

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Scleroderma Risk Model for 5 Year Survival
Clinical Diagnosis, Including Family History For Genetics
- ARA Scleroderma Criteria Cooperative Study Preliminary Clinical Criteria for Systemic Sclerosis
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Systemic Sclerosis Differential Diagnosis Criteria
- Conditions in Differential Diagnosis of Scleroderma (Scleroderma-Like Fibrosing Skin Disorders)

Therapy

Physical And Lifestyle
- Drug Induced Scleroderma

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- Prognostic Factors for Patient with Juvenile Systemic Sclerosis
- Lung Severity Scale of Medsger for Patient with Systemic Sclerosis

Patient Concerns

End-of-life, Palliative Care
- Scleroderma Risk Model for 5 Year Survival

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Scleroderma Classification for Changes in Fingernail Capillaries

Purpose: To evaluate capillaries in the finger nailbed for changes seen in scleroderma based on the criteria of Maricq.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10