Relación entre patrones capilaroscópicos e índice de severidad de Medsger en esclerosis sistémica. Hospital Luis Vernaza. Diciembre 2017 - mayo 2018.

Abstract

Background: Capillaroscopy has been essential for the microscopic evaluation of vasculopathy associated with systemic sclerosis. The Medsger severity index (MSS) is used to qualify the severity of sclerosis in nine organ systems. Materials and Methods: An observational, analytical, cross-sectional, retroprospective study was conducted in the area of Dermatology and Rheumatology of the external consultation of the Luis Vernaza Hospital during a period of six months (December 2017 to May 2018) in patients with a diagnosis of sclerosis. Systemic and older than 18 years. Results: 49 patients were studied with an average age of 49.53 ± 15.21 years and a median (Me) of evolution of the disease of 5.00 years. 91.8% (45/49) of the patients were women. Patients with normal, early and active capillaroscopic pattern had a lower score of composite MSS in relation to patients with late capillary pattern (6.00 vs 7.42, p 0.0444). There was also a significant correlation between the capillaroscopic patterns and the composte MSS, with a Spearman rho coefficient of 0.30 (95% CI 0.0202 - 0.536, P 0.0364). When evaluating the correlation between the Rodnan score and the capillaroscopic patterns, it was found that this was significant, Spearman's Rho (95% CI 0.00164 - 0.522, P 0.0490). Conclusions: There is a robust relationship between capillaroscopic patterns and the severity of visceral damage in patients with systemic sclerosis.