Summary
The nail fold capillary morphology and blood flow were examined by capillaroscopy in 10 patients with primary fibromyalgia. Only slight morphological anomalies such as moderate enlargement of capillary loops and variations in calibre were found. No obvious correlation emerged between capillary morphology and the duration of the disease, smoking, or history of Raynaud's phenomenon. Three patients with a history of Raynaud's phenomenon showed sluggish capillary flow correlated with subnormal skin temperature during registration. The findings suggest that marked generalized capillary abnormality such as that often involving the nail fold capillaries in many connective tissue disorders is not a prominent feature of primary fibromyalgia.
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Yunus, M., Masi, A.T., Calabro, J.J., Miller, K.A., Feigenbaum, S.L. Primary fibromyalgia (fibrositis): clinical study of 50 patients with matched normal controls. Semin Arthritis Rheum 1981, 11, 151–171.
Lund, N., Bengtsson, A., Thorborg, P. Muscle tissue oxygen pressure in primary fibromyalgia. Scand J Rheumatol 1986, 15, 165–173.
Bengtsson, A., Henriksson, K.G., Larsson, J. Muscle biopsy in primary fibromyalgia: light-microscopical and histochemical findings. Scand J Rheumatol 1986, 15, 1–6.
Davis, M.J., Lawler, J.C. The capillary circulation of the skin: some normal and pathological findings. Arch Dermatol 1958, 77, 690–703.
Maricq, H.R., LeRoy, E.C. Patterns of finger capillary abnormalities in connective tissue disease by “wide-field” microscopy. Arthritis Rheum 1973, 16, 619–628.
Kimby, E., Fagrell, B., Björkholm, M., Holm, G., Mellstedt, H., Norberg, R. Skin capillary abnormalities in patients with Raynaud's phenomenon. Acta Med Scand 1984, 215, 127–134.
Harper, F.E., Maricq, H.R., Turner, R.E., Lidman, R.W., LeRoy, E.C. A prospective study of Raynaud's phenomenon and early connective tissue disease. A five-year report. Am J Med 1982, 72, 883–888.
Fagrell, B. The use of capillaroscopy in the evaluation of skin viability. Prog. appl. Microcirc 1986, 11, 40–46.
Houtman, P.M., Kallenberg, C.G.M., Fidler, V., Wouda, A.A. Diagnostic significance of nail fold capillary patterns in patients with Raynaud's phenomenon. An analysis of patterns discriminating patients with and without connective tissue disease. J Rheumatol 1986, 13, 556–563.
Spittel, J.A. Raynaud's phenomenon and allied vasospastic conditions. In: Peripheral Vascular Diseases, 4th ed., Editors: Allen, Barker, Hines, Philadelphia, W.B. Saunders Company, 1972, 387–395.
Maricq, H.R. Widefield capillary microscopy Technique and rating scale for abnormalities seen in scleroderma and related disorders. Arthritis Rheum 1981, 24, 1159–1165.
Dinerman, H., Goldenberg, D.L., Felson, D.T. A prospective evaluation of 118 patients with the fibromyalgia syndrome: Prevalence of Raynaud's phenomenon, sicca symptoms, ANA, low complement and Ig deposition at the dermal-epidermal junction. J Rheumatol 1986, 13, 368–373.
Heffner, R.R., Barron, S.A. The early effects of ischemia upon skeletal muscle mitochondria. J Neurol Sci 1978, 38, 295–315.
Bengtsson, A., Bengtsson, M. Regional sympathetic blockade in primary fibromyalgia. Pain In Press, 1988.
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Frödin, T., Bengtsson, A. & Skogh, M. Nail fold capillaroscopy findings in patients with primary fibromyalgia. Clin Rheumatol 7, 384–388 (1988). https://doi.org/10.1007/BF02239197
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DOI: https://doi.org/10.1007/BF02239197