<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2021000300025</article-id>
<article-id pub-id-type="doi">10.24950/o/46/21/3/2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Vídeocapilaroscopia Periungueal: Experiência de um Serviço]]></article-title>
<article-title xml:lang="en"><![CDATA[Nailfold Videocapillaroscopy: A Department&#8217;s Experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nascimento]]></surname>
<given-names><![CDATA[Margarida L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malheiro]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital da Luz Lisboa Serviço de Medicina Intensiva ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital da Luz Lisboa Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>25</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2021000300025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2021000300025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2021000300025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A vídeocapilaroscopia periungueal é uma técnica não invasiva dirigida ao estudo da microcirculação. Este exame constitui-se como uma ferramenta adicional na avaliação do doente com alterações da microcirculação, na maioria dos casos por suspeita de doença autoimune.  Métodos:  Primeiros 101 doentes submetidos a vídeocapilaroscopia periungueal no nosso hospital num período de 18 meses, com recurso a um vídeocapilaroscópio digital.  Resultados:  Cento e um doentes, 85% mulheres, idade média 50 anos. O principal motivo de referenciação foi a existência de fenómeno de Raynaud (93%). A avaliação capilaroscópica foi sugestiva de fenómeno de Raynaud primário em 28 doentes e secundário em 65.  Discussão:  Os dados descritos, embora numa amostra ainda pequena, permitem reforçar a utilidade da vídeocapilaroscopia periungueal na avaliação inicial dos doentes com suspeita de disfunção da microcirculação, especialmente no contexto de patologia autoimune. A identificação precoce dos indivíduos com maior risco de progressão para doença autoimune permitirá otimizar o seu acompanhamento, nomeadamente com vigilância regular em consulta externa, facilidade de acesso à equipa médica assistente para deteção precoce de novos sintomas e avaliação laboratorial regular.  Conclusão: A vídeocapilaroscopia periungueal é um método acessível e de baixo custo, que contribui conjuntamente com a avaliação laboratorial para a identificação precoce dos indivíduos com fenómeno de Raynaud secundário, podendo assim afetar positivamente o acompanhamento dos mesmos. O desenvolvimento futuro desta técnica poderá representar um preditor de progressão de doença.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Nailfold videocapillaroscopy is a noninvasive technique aimed to study microcirculation. This exam is an additional tool in the management of the patient with microcirculation changes, mostly in cases due to suspected autoimmune disease.  Methods:  First 101 patients undergoing nailfold videocapillaroscopy in our hospital over an 18-month period, using a digital videocapillaroscope.  Results:  One hundred and one patients, 85% women, average age 50 years. The main reason for referencing was Raynaud´s phenomenon (93%). Capillaroscopic evaluation was suggestive of primary Raynaud´s phenomenon in 28 patients and secondary in 65.  Discussion:  The results described, although in a small sample, allow to reinforce the usefulness of nailfold videocapillaroscopy in the evaluation of patients with suspected microcirculatory dysfunction, especially in the context of autoimmune pathology. The early identification of individuals with a higher risk of progression to autoimmune disease will allow to optimize their follow-up, with regular surveillance, easy access to the medical team for an early detection of symptoms and regular laboratory evaluation.  Conclusion:  Nailfold videocapillaroscopy is an accessible and lowcost exam, which contributes together with laboratory results for the early identification of individuals with secondary Raynaud´s phenomenon. The future development of this technique may represent a predictor of disease progression.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Angioscopia Microscópica]]></kwd>
<kwd lng="pt"><![CDATA[Doença de Raynaud / diagnóstico / Unhas / irrigação sanguínea.]]></kwd>
<kwd lng="en"><![CDATA[Microscopic Angioscopy]]></kwd>
<kwd lng="en"><![CDATA[Nails/blood supply]]></kwd>
<kwd lng="en"><![CDATA[Raynaud Disease/diagnosis.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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