期刊
OXFORD MEDICAL CASE REPORTS
卷 2022, 期 9, 页码 -出版社
OXFORD UNIV PRESS
DOI: 10.1093/omcr/omac088
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This article observed a significant improvement in nail-fold capillary architecture in a diabetes patient after achieving good glycemic control.
Diabetes mellitus (DM) is a disease process characterized by a chronic hyperglycemic milieu that leads to micro and macrovascular complications, including diabetic retinopathy, diabetic nephropathy and diabetic neuropathy. During the last decade, researchers have used nail-fold capillaroscopy to study the microvascular alterations in rheumatologic diseases; however, the technology is gaining momentum in other disease processes that alter microvascular architecture. We observed a drastic improvement in the nail-fold capillary architecture in a patient with uncontrolled DM. After achieving excellent glycemic control 6 months after diagnosis, increased capillary density and evident rearrangement of the capillaries replaced the avascular areas and giant capillaries found at the time of diagnosis.
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