#Nailfold
Incredibly exciting diagnostic tool potential — @immunofever.bsky.social MIT team is doing nailfold capillaroscopies on #LongCovid patients before and after a NASA lean test, and said the results have been incredibly striking compared to controls.

My results were very abnormal !
August 15, 2025 at 6:14 PM
Microvascular damage in #LongCovid patients - more than a yr after infection 🧪

Why? Possible immune-mediated damage, viral reservoirs or dysregulated coagulation

Nailfold videocapilliaroscopy (NVC) could be an important diagnostic & monitoring tool

🖇️ tinyurl.com/49jfda4n
May 8, 2025 at 11:04 AM
NVC test shows significant microvascular damage in #LongCovid patients vs matched healthy controls. Dilated capillaries, microhaemorrhages, abnormal shapes and reduced capillary density are still detectable in LC 12 months after acute SARS-CoV-2 infection

rmdopen.bmj.com/content/11/2...
Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients
Background SARS-CoV-2 induces acute non-specific endothelial/microvascular alterations that have been identified by nailfold videocapillaroscopy (NVC). Details on NVC abnormalities in long covid (LC) ...
rmdopen.bmj.com
December 22, 2025 at 11:44 PM
Another new preprint with
@resiapretorius.bsky.social
is available, on a technique called #Nailfold #Capillaroscopy that we think will be an important complement to #microclot measurements. preprints.org/manuscript/2... #TeamClots
preprints.org
May 29, 2025 at 10:41 AM
Nailfold videocapillaroscopy (NVC) shows significant microvascular damage in #LongCovid patients vs matched healthy controls in new study. Dilated capillaries, microhaemorrhages, abnormal shapes and reduced capillary density are still detectable in LC 12 months after acute SARS-CoV-2 infection
May 5, 2025 at 11:17 PM
“In conclusion, for the first time, the investigation shows significant endothelial/microvascular damage induced by SARS-CoV-2 infection in #LongCovid patients, using detailed nailfold videocapillaroscopy scoring of microvascular status from multiple centres” rmdopen.bmj.com/content/11/2...
Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients
Background SARS-CoV-2 induces acute non-specific endothelial/microvascular alterations that have been identified by nailfold videocapillaroscopy (NVC). Details on NVC abnormalities in long covid (LC) ...
rmdopen.bmj.com
August 16, 2025 at 7:10 PM
“#LongCovid pts showed significantly more dilated capillaries, microhaemorrhages, abnormal shapes than healthy matched control subjects and of note, lower mean capillary number per linear millimetre.”

Study: rmdopen.bmj.com/content/11/2...
August 16, 2025 at 7:08 PM
A new review with
@resiapretorius.bsky.social on two more imaging methods for measuring effects of #fibrinaloid #microclots on the #microcirculation and endothelial damage. #TeamClots #pwLC #pwME preprints.org/manuscript/2.... Much pricier than #nailfold #capillaroscopy but impactful.
preprints.org
June 26, 2025 at 11:35 PM
1/
Microvascular disturbances caused by SARS‐CoV‐2 were observed by nailfold capillaroscopy as early as 2021 -
December 18, 2025 at 6:46 PM
Italy-based study of 193 participants found long COVID patients showed persistent microvascular damage—dilated capillaries, microbleeds, and capillary loss—on nailfold microscopy more than a year after infection, unlike recovered patients.

rmdopen.bmj.com/content/11/2...
rmdopen.bmj.com
May 12, 2025 at 6:20 PM
I had nailfold capillaroscopy done here in Berlin! The doctor was very irritated that I was asking for it as a differential diagnostic for MECFS, which he clearly didn't believe in, and yet he did report changes and "inexplicable" things in my results.
August 16, 2025 at 12:22 AM
so much novel longcovid science echoes in the more dreaded parts of what i came to learn about possible trajectories following my 2016 lupus diagnosis. there’s no going back from some of this damage. it’s just not worth it, especially when a mask can be all you need to significantly reduce the risk.
December 18, 2025 at 7:40 PM
‘Nailfold NVC shows
significant microvascular damage in LONG COVID patients
compared with matched healthy controls.

Dilated capillaries,
microhaemorrhages,
abnormal shapes &
reduced capillary density
are still detectable in LONG COVID patients 12 months after acute SARSCoV2 infection…’
December 18, 2025 at 1:43 PM
July 21, 2025 at 5:05 PM
Ich hoffe, ich kann künftig mehr mikroskopieren, es ist unheimlich spannend! 🧐 #PAIS #MECFS #LongCOVID
——-
In nailfold capillaroscopy on a patient with positive microclots, I was unable to observe any capillary blood flow; the vessels were rarefied and deformed.
2/3
November 26, 2024 at 8:34 PM
From Italy:

Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients

rmdopen.bmj.com/content/11/2...

Screenshot is from the latest Science for ME weekly update

#LongCovid #PASC
May 15, 2025 at 1:05 AM
We have exciting news!

Two members of @immunofever.bsky.social's research group will join us at Innovation Inn next week to demo testing they use in their MAESTRO project:

RightEye eye tracking, WAVi EEG, Nailfold capillaroscopy, @wearlumia.bsky.social blood flow to the brain

Thanks to Mikki 🙏
August 1, 2026 at 1:45 AM
“Nailfold videocapillaroscopy picture of:

(A) a control healthy subject

(B) a recovered COVID-19 patient without long covid

(C–D) two #LongCovid patients without systemic sclerosis”
August 16, 2025 at 7:11 PM
What Lies Beneath: Understanding Nailfold Capillaroscopy

Capillaroscopy, a non-invasive imaging technique, assesses microcirculation in vivo. While various optical instruments can be used, only dermatoscopes and videocapillaroscopes have shown good validity and reliability.
What Lies Beneath: Understanding Nailfold Capillaroscopy | RheumNow
Capillaroscopy is a non-invasive imaging technique used for the in vivo assessment of the microcirculation. kin capillaries at the nailfold are evaluated because the fingers are involved in…
buff.ly
November 27, 2024 at 4:00 PM
rmdopen.bmj.com/content/11/2...

Very interesting study, in my opinion, the findings in capillaroscopy mostly reflect defects of primary hemostasis due to chronic inflammation and endothelial dysfunction in patients of the PAIS spectrum.
Multicentre retrospective detection of nailfold videocapillaroscopy abnormalities in long covid patients
Background SARS-CoV-2 induces acute non-specific endothelial/microvascular alterations that have been identified by nailfold videocapillaroscopy (NVC). Details on NVC abnormalities in long covid (LC) ...
rmdopen.bmj.com
May 5, 2025 at 12:26 PM
Nailfold video-capillaroscopy (NVC) study of 76 dermatomyositis (DM) pts - 74% had anomalous NVC patterns (diminished density, abnl morphology). NVC abnl pts had more Raynaud's, and cluster 1 were more likely to develop ILD.
buff.ly
December 18, 2024 at 12:00 AM
All 10 fingers done, 6 photos succeeded of which not one really normal & quite remarkable differences.
Not that we can do anything with it right away but I prefer knowing what is wrong with me.

#nailfold #capillary #microclots 🔬 DIY

preprints.org/manuscript/2...

#ME #MEcfs #LongCovid
June 26, 2025 at 5:55 AM