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The aim of the study is to determine if postocclusive hyperemia of palmar and dorsal face of the hand with Laser speckle contrast imaging discriminate between patients with systemic sclerosis, subjects with primary Raynaud's phenomenon and healthy subjects.
Microvascular dysfunction is a key event in the pathogenesis of systemic sclerosis. There are currently no test measuring it in clinical practice. Response to humeral occlusion is interesting and this response has been studied with laser Doppler flowmetry. More recently, laser imaging has been used analysing the granularity of the laser: laser Speckle Contrast Imaging which allow combining high temporal resolution to high spatial resolution.
The investigators proposed, in this study, to compare this imaging at basal and after post-occlusive hyperaemia of dorsal and palmar face of hand in 3 groups: healthy subjects, primary Raynaud's phenomenon and systemic sclerosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sclerodermic patients | Experimental | patients with systemic sclerosis according to Leroy's classification |
|
| Primary Raynaud's phenomenon | Experimental | without secondary disease |
|
| Healthy subjects | Experimental | 18 years old or more |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laser speckle contrast imaging | Procedure | blood flow recording during 30 minutes after 2 post-occlusive hyperaemia of 5 minutes separated by 30 minutes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post-occlusive hyperemia response between groups | The range of post-occlusive hyperemia response will be compared between the 3 arms. | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| post-occlusive hyperemia response between zones | The range of post-occlusive hyperemia response will be compared between zones. | 30 minutes |
| abnormal post-occlusive hyperemia response and finger pad scars |
| Measure | Description | Time Frame |
|---|---|---|
| Blood flow after cooling between groups | Range of the diminution of blood flow in palmar and dorsal hand faces will be compared in the 3 groups | 30 minutes |
| reproductibility of hand cooling | The reproductibility of the measure of blood flow after cooling will be studied twice, at day0 and 4 days later. |
Inclusion Criteria:
Raynaud's phenomenon subjects:
Systemic sclerosis:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Luc CRACOWSKI, MD, PhD | CIC, CHU Grenoble | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Center | Grenoble | 38043 | France | |||
| Vascular Medical Unit |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24990822 | Derived | Gaillard-Bigot F, Roustit M, Blaise S, Gabin M, Cracowski C, Seinturier C, Imbert B, Carpentier P, Cracowski JL. Abnormal amplitude and kinetics of digital postocclusive reactive hyperemia in systemic sclerosis. Microvasc Res. 2014 Jul;94:90-5. doi: 10.1016/j.mvr.2014.05.007. Epub 2014 Jun 2. |
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| ID | Term |
|---|---|
| D011928 | Raynaud Disease |
| D012595 | Scleroderma, Systemic |
| ID | Term |
|---|---|
| D000090122 | Livedoid Vasculopathy |
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D000081982 | Laser Speckle Contrast Imaging |
| D064590 | Cool-Down Exercise |
| ID | Term |
|---|---|
| D061848 | Optical Imaging |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Cooling | Procedure | blood flow of the hand recording during 30 minutes in a cooling-box |
|
comparison of range of post-occlusive hyperemia response with or without finger pad scars.
| 30 minutes |
| Entropy and Fourier transform | The interest of the signal analyses to distinguish systemic sclerosis, raynaud's phenomenon and healthy subjects will be studied with entropy and Fourier transform. | 30 minutes |
| Post-occlusive hyperemia response between the 2 faces | The Range of post-occlusive hyperemia response will be compared between the 2 hand faces (palmar and dorsal). | 30 minutes |
| Day 0 and Day 4 |
| blood flow after cooling in each group | The range of blood flow after cooling on pulpar and dorsal face of hand will be compared between the 3 groups. | 30 minutes |
| Grenoble |
| 38043 |
| France |
| D002318 |
| Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D003240 | Connective Tissue Diseases |
| D008919 |
| Investigative Techniques |
| D000096063 | Post-Exercise Recovery Techniques |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |