Nail Fold Capillaroscopic Findings in Elderly Patient with Acrocyanosis

The Raynaud´s phenomenon (RP) is well known as the first sign of systemic scleroderma (SS) and related disorders. Its early diagnosis leads to a better understanding of the disease and favorable prognosis.\n\nThe acrocyanosis is an acrosyndrome differing physiologically and clinically, that can be due to vascular etiology, systemic diseases,drugs, infections or other causes.\n\nWe hereby present an elderly male patient, aged 62 years, with acrocyanosis with altered capillaroscopy, compatible with an early systemic scleroderma starting three months ago in the fingers.