Image Library

Searchable collection of capillaroscopic images organized by pattern, diagnosis, and severity.

Capillaroscopy Image Atlas

Image Library

This image library is designed as a structured atlas of key capillaroscopic hallmarks, patterns, and pathology-associated findings to support fast visual learning and case comparison.

Total images: 43Pathologies: 21Patterns: 29

Active scleroderma pattern

200x nailfold capillaroscopy field with a branching capillary on the left side

Branching capillary / neoangiogenesis

200x capillaroscopy field with disappearance of the capillary bed on the left margin due to excessive pressure on the nail

Pressure artifact

Nailfold video capillaroscopy in anti-TIF-1gamma antibody-positive dermatomyositis showing enlarged, giant, and ramified capillaries

Myositis-associated microangiopathy with neoangiogenesis

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Active scleroderma pattern with megacapillaries (field 1)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma patternModerate to Severe

200x nailfold capillaroscopy field with prominent megacapillaries in an active scleroderma pattern

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Active scleroderma pattern with megacapillaries (field 2)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma patternModerate to Severe

200x nailfold capillaroscopy field with visible megacapillaries in an active scleroderma pattern

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Active scleroderma pattern with megacapillaries (field 3)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma patternModerate to Severe

200x nailfold capillaroscopy field with large megacapillaries in an active scleroderma pattern

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Active scleroderma pattern with megacapillaries (field 4)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma patternModerate to Severe

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Branching capillary on the left side

Author: Miguel Antonio Mesa Navas

UnspecifiedBranching capillary / neoangiogenesisUnspecified

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Pressure artifact with loss of visible capillary bed

Author: Miguel Antonio Mesa Navas

Acquisition artifactPressure artifactUnspecified

200x capillaroscopy field showing a broad capillary-free space compatible with an avascular area

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Extensive avascular area

Author: Miguel Antonio Mesa Navas

UnspecifiedExtensive avascular areaSevere

200x capillaroscopy field from systemic sclerosis showing marked architectural disorganization and neoangiogenesis without megacapillaries

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Late scleroderma pattern with severe disorganization (field 1)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisLate scleroderma patternSevere

200x capillaroscopy field from systemic sclerosis showing severe architectural disorganization and neoangiogenesis without megacapillaries

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Late scleroderma pattern with severe disorganization (field 2)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisLate scleroderma patternSevere

200x capillaroscopy field with a fog-like pericapillary haze between capillaries consistent with pericapillary edema

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Pericapillary edema on an active background

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma patternModerate to Severe

200x capillaroscopy field in systemic sclerosis showing megacapillaries with a ground-glass stromal appearance suggestive of fibrosis

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Ground-glass stromal fibrosis with megacapillaries (field 1)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma pattern with stromal fibrosisSevere

200x capillaroscopy field in systemic sclerosis showing megacapillaries, pericapillary edema, and a ground-glass stromal pattern

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Ground-glass stromal fibrosis with megacapillaries (field 2)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisActive scleroderma pattern with stromal fibrosisSevere

200x capillaroscopy field in systemic sclerosis showing a hemorrhage with a smoke-plume appearance

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Hemorrhage with smoke-plume appearance

Author: Miguel Antonio Mesa Navas

Systemic sclerosisHemorrhagic lesionModerate to Severe

200x capillaroscopy field in systemic sclerosis showing a representative microvascular hemorrhagic lesion

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Hemorrhagic field in systemic sclerosis

Author: Miguel Antonio Mesa Navas

Systemic sclerosisHemorrhagic lesionModerate to Severe

200x capillaroscopy field capturing a hemorrhage at the moment of its formation

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In situ hemorrhage formation

Author: Miguel Antonio Mesa Navas

Systemic sclerosisHemorrhagic lesionModerate to Severe

200x capillaroscopy field in systemic sclerosis showing a very large megacapillary

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Large megacapillary (field 1)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisMegacapillary-dominant fieldModerate to Severe

200x capillaroscopy field in systemic sclerosis showing a prominent megacapillary

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Large megacapillary (field 2)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisMegacapillary-dominant fieldModerate to Severe

200x capillaroscopy field in systemic sclerosis showing very dilated megacapillaries

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Large megacapillary (field 3)

Author: Miguel Antonio Mesa Navas

Systemic sclerosisMegacapillary-dominant fieldModerate to Severe

200x capillaroscopy field showing a giant capillary with a coiled appearance

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Coiled giant capillary

Author: Miguel Antonio Mesa Navas

Systemic sclerosisCoiled giant capillaryModerate to Severe

Capillaroscopy field from a critically ischemic digit with diffuse capillary thrombosis

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Suspected capillary thrombosis in critical digital ischemia

Author: Miguel Antonio Mesa Navas

Critical digital ischemiaSuspected capillary thrombosisSevere

Nailfold video capillaroscopy of the right fourth finger showing preserved capillary density with hemorrhages and no giant capillaries

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Preserved capillary density with anticoagulation-related hemorrhages

Author: Luis Peñaranda Bolaño

Anticoagulation-related hemorrhagesPreserved capillary density with hemorrhagesMild

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Dermatomyositis with giant and ramified capillaries

Author: Luis Peñaranda Bolaño

DermatomyositisMyositis-associated microangiopathy with neoangiogenesisSevere

A field from the normal reference study, showing the distal row of narrow loops. Use the full study to compare density and shape across fingers.

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Normal reference: distal capillary row

Author: Miguel Antonio Mesa Navas

Normal CapillaroscopyNormal PatternSee complete study

Dark hemorrhagic deposits alongside capillary loops in the nonspecific reference study. Hemorrhage alone does not define a scleroderma pattern.

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Nonspecific pattern: hemorrhagic field

Author: Miguel Martín Cascón

Non-Specific MicroangiopathyNon-Specific PatternSee complete study

Selected field from the early-pattern reference study, with enlarged loops among a relatively preserved capillary row. The subtype belongs to the complete examination.

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Early scleroderma pattern: selected field

Author: Borja Gracia Tello

Systemic SclerosisEarly Cutolo SSc PatternSee complete study

A prominent enlarged loop in the active-pattern reference study. Compare the neighboring capillaries and the other fields before assigning a pattern.

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Active scleroderma pattern: giant loop

Author: Borja Gracia Tello

Systemic SclerosisActive Cutolo SSc PatternSee complete study

Irregular, ramified loops in a field from the late-pattern reference study. The full study provides context for capillary loss and distribution.

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Late scleroderma pattern: disorganized loops

Author: Gema María Lledó Ibáñez

Systemic SclerosisLate Cutolo SSc PatternSee complete study

Large dark hemorrhagic deposits below the capillary row in the published MPO-ANCA vasculitis case. Its complete study is described as a nonspecific pattern without giants.

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MPO-ANCA vasculitis: hemorrhagic deposits

Author: Gema María Lledó Ibáñez

ANCA-Associated Vasculitis (MPO+)Non-Specific PatternSee complete study

An overview of the nailfold from the anti-Mi2β dermatomyositis case. This wider view provides context; use the complete study for calibrated measurements and individual capillary assessment.

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Anti-Mi2β dermatomyositis: overview

Author: Gema María Lledó Ibáñez

Dermatomyositis (anti-Mi2β+)Severe Myositis-Associated MicroangiopathySee complete study

Overview of the nailfold in the ACA-positive active-pattern case. The reported density and giant-capillary percentage describe the study, not this photograph alone.

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ACA-positive systemic sclerosis: overview

Author: Gema María Lledó Ibáñez

Limited Cutaneous Systemic Sclerosis (ACA+)Active Cutolo Scleroderma PatternSee complete study

Enlarged loops and dark hemorrhagic deposits in the anti-Scl-70-positive active-pattern case. The source report notes no avascular areas in the study.

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Anti-Scl-70 systemic sclerosis: enlarged loops and hemorrhages

Author: Gela Gunashvili

Diffuse Systemic Sclerosis (anti-Scl-70+)Active Cutolo Scleroderma PatternSee complete study

Irregular enlarged loops in the anti-U3 RNP case. Although giants remain present, the final report classifies the overall microangiopathy as late.

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Anti-U3 RNP systemic sclerosis: irregular loops

Author: Miguel Antonio Mesa Navas

Systemic Sclerosis (anti-U3 RNP+)Late Scleroderma PatternSee complete study

A disorganized field with enlarged loops and surface reflections from the inter-digit heterogeneity case. Other fields differ markedly; inspect the full study and its image-quality caveats.

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Inter-digit heterogeneity: selected abnormal field

Author: Miguel Antonio Mesa Navas

Systemic Sclerosis (Anticentromere-Positive)Heterogeneous Scleroderma Pattern (Active to Late)See complete study

Irregular and branching forms in the anti-RNP-positive mixed connective tissue disease case. The source report describes a scleroderma-like pattern without an assignable Cutolo subtype.

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Mixed connective tissue disease: irregular branching forms

Author: Miguel Antonio Mesa Navas

Mixed Connective Tissue Disease (anti-RNP+)Scleroderma-Like Pattern (Unclassifiable Cutolo Subtype)See complete study

Prominent enlarged loops and a complex branching form in the initial anti-NXP2 dermatomyositis study. Compare this with the linked follow-up image and complete serial studies.

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Anti-NXP2 dermatomyositis: initial enlarged loops

Author: Luis Saez Comet

Dermatomyositis (anti-NXP2+)Myositis-Associated Microangiopathy with Treatment ResponseSee complete study

Follow-up field from the adult anti-NXP2 dermatomyositis case. The source report documents improved study-wide density and disappearance of giants and hemorrhages; these are longitudinal study findings.

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Anti-NXP2 dermatomyositis: follow-up field

Author: Luis Saez Comet

Dermatomyositis (anti-NXP2+)Follow-up studySee complete study

Complex, winding and ramified vascular forms in the anti-TIF1γ dermatomyositis case. A scleroderma-like image appearance does not establish systemic sclerosis.

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Anti-TIF1γ dermatomyositis: complex vascular shapes

Author: Franklin Uguña Sari

Dermatomyositis (anti-TIF1γ+)Scleroderma-Like PatternSee complete study

Nailfold overview from the juvenile dermatomyositis case with Gottron papules. The complete report describes the vascular abnormalities; this image is an orientation view.

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Juvenile dermatomyositis: nailfold overview

Author: Clara Udaondo

Juvenile DermatomyositisLate Scleroderma-Like PatternSee complete study

Initial nailfold overview in the juvenile anti-NXP2 longitudinal case. Compare the follow-up and the documented quantitative findings in the complete case.

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Juvenile anti-NXP2 dermatomyositis: initial overview

Author: Clara Udaondo

Juvenile Dermatomyositis (anti-NXP2+)Early Scleroderma-Like Pattern with Treatment ResponseSee complete study

Follow-up nailfold overview from the same juvenile anti-NXP2 case. Differences in overview appearance should be interpreted alongside acquisition conditions and the serial reports.

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Juvenile anti-NXP2 dermatomyositis: follow-up overview

Author: Clara Udaondo

Juvenile Dermatomyositis (anti-NXP2+)Follow-up studySee complete study

Overview from the active juvenile anti-TIF1 dermatomyositis case. Open the source study to examine the arborizing capillaries described in its report.

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Juvenile anti-TIF1 dermatomyositis: nailfold overview

Author: Clara Udaondo

Juvenile Dermatomyositis (anti-TIF1+)Active Scleroderma-Like PatternSee complete study

Initial nailfold overview from the longitudinal mixed connective tissue disease case. Use the serial studies to assess change in morphology and density.

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Mixed connective tissue disease: initial overview

Author: Clara Udaondo

Mixed Connective Tissue Disease (anti-RNP+)Early Scleroderma Pattern with ImprovementSee complete study

Follow-up overview from the same mixed connective tissue disease case. The linked report places this image in the clinical and longitudinal context.

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Mixed connective tissue disease: follow-up overview

Author: Clara Udaondo

Mixed Connective Tissue Disease (anti-RNP+)Follow-up studySee complete study

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