Preserved capillary density with anticoagulation-related hemorrhages
A 74-year-old male with no rheumatologic history, on apixaban for permanent atrial fibrillation. Nailfold video capillaroscopy of the right fourth finger demonstrates preserved capillary density without capillary dropout. There are no giants or enlarged capillaries. Hemorrhages are present, related to chronic anticoagulation.
Image details
- Pathology
- Anticoagulation-related hemorrhages
- Pattern
- Preserved capillary density with hemorrhages
- Severity
- Mild
- Author or contributor
- Luis Peñaranda Bolaño
- Hallmarks
- Hemorrhage Preserved capillary density No giant capillaries
Teaching point
A 74-year-old male with no rheumatologic history, on apixaban for permanent atrial fibrillation. Nailfold video capillaroscopy of the right fourth finger demonstrates preserved capillary density without capillary dropout. There are no giants or enlarged capillaries. Hemorrhages are present, related to chronic anticoagulation.
Clinical caveat
This image illustrates a visual finding and should be interpreted with acquisition quality, distribution across fingers, clinical context, and serology when relevant.
Use and licensing
Educational material. For reuse outside Capillaroscopy.com, request permission and preserve the stated attribution.
