Dermatomyositis with giant and ramified capillaries

25-year-old male with anti-TIF-1γ antibody-positive dermatomyositis. Nailfold video capillaroscopy demonstrates significant microvascular architectural abnormalities characterized by enlarged and giant capillaries and multiple ramified (bushy) capillaries consistent with neoangiogenesis. No microhemorrhages are identified.

Nailfold video capillaroscopy in anti-TIF-1gamma antibody-positive dermatomyositis showing enlarged, giant, and ramified capillaries
25-year-old male with anti-TIF-1γ antibody-positive dermatomyositis. Nailfold video capillaroscopy demonstrates significant microvascular architectural abnormalities characterized by enlarged and giant capillaries and multiple ramified (bushy) capillaries consistent with neoangiogenesis. No microhemorrhages are identified.

Image details

Pathology
Dermatomyositis
Pattern
Myositis-associated microangiopathy with neoangiogenesis
Severity
Severe
Author or contributor
Luis Peñaranda Bolaño
Hallmarks
Enlarged capillaries Giant capillaries Ramified capillaries Neoangiogenesis
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Teaching point

25-year-old male with anti-TIF-1γ antibody-positive dermatomyositis. Nailfold video capillaroscopy demonstrates significant microvascular architectural abnormalities characterized by enlarged and giant capillaries and multiple ramified (bushy) capillaries consistent with neoangiogenesis. No microhemorrhages are identified.

Clinical caveat

This image illustrates a visual finding and should be interpreted with acquisition quality, distribution across fingers, clinical context, and serology when relevant.

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Educational material. For reuse outside Capillaroscopy.com, request permission and preserve the stated attribution.

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