Nail Fold Capillaroscopy abnormality in Behcet's Disease and Relation to Disease Activity among Egyptian Patients

Abstract

Patients had statistically significant affection of anterior and posterior chamber, but with no correlation to BDCAF score, posterior chamber affection was significantly correlated to capillary ramification and tortuosity. Patients had higher total leucocytic count, higher ESR and lower hemoglobin levels, ESR was also significantly correlated with capillary dilation and tortuosity, CRP didn’t show statistically significant difference. It was found that 70% of the patients had nailfold capillary changes, the most prevalent changes were tortuosity 64%, microhemorrhages 54%, and capillary dilation 24%, the disease activity wasn’t related to the capillary changes. We conclude that Behcet’s disease causes nailfold capillaroscopic changes and that capillaroscopy can be used to complete the picture to diagnose Behcet’s disease and that further studies are required to see a more specific pattern.