Conference Proceeding

Nailfold capillaroscopy in Diabetes Mellitus

Dr. Genessis Maldonado,

Diabetes is characterized by a chronic hyperglycemic state and the development of alterations in the vascular structure. It’s currently considered a chronic disease with a high mortality rate due to its longterm cardiovascular and renal complications. Data from the Diabetes Control and Complications Trial (DCCT) and the UK Prospective Diabetes Study (UKPDS) shows that chronic hyperglycemia is the most important risk factor for the development of microvascular complications in patients with type I and II diabetes mellitus and that endothelial dysfunction plays an important role in the development of vascular diseases and represents the initial stage in pathogenesis of the disease. The current trend for evaluating microvascular damage in diabetic patients is the use of: Doppler flowmetry, direct and indirect ophthalmoscopy, ambulatory blood pressure monitoring, but capillaroscopy is not commonly used.Because of diabetes important vascular involvement, direct observation tools such as ophthalmoscopes, and magnifying lenses have been used during examination. In recent years, capillaroscopy has gained recognition in the field of diseases that affect capillary microarchitecture, especially in rheumatic diseases; however, studies published in the last decade highlight the importance of this innovative technique in non- rheumatic diseases such as diabetes. These studies conclude that capillaroscopy provides important data for the determination of vascular damage in diabetic patients, allowing an evaluation in the progression of the disease.

Published: 17 October 2017


Copyright: © 2017 Dr. Genessis Maldonado. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.