Given a passage with a context and an answer, construct a question on the basis of the information present in the passage. Construct the question in such a way that (i) it is unambiguous, (ii) it is answerable from the passage, (iii) its answer is unique (iv) it answer uses text phrases from the passage. Avoid creating questions that (i) can't be answered correctly without actually understanding the passage and (ii) uses the same words or phrases given in the passage.
Q: Context: Nailfold videocapillaroscopy (NVC) identifies the microvascular hallmarks of systemic sclerosis (SSc) and vascular endothelial growth factor (VEGF) and may play a pivotal role in the associated vasculopathy. The aim of the present study was to compare NVC alterations with clinical subsets, internal organ involvement, and serum VEGF levels in a cohort of selected SSc cases.', 'We studied 44 patients with SSc who were evaluated within 3months from enrollment by NVC, skin score, severity index, pulmonary function tests, carbon monoxide diffusing capacity (DLCO), echocardiography, pulmonary high-resolution computed tomography (HRCT), gastroesophageal (GE) endoscopy or manometry or X-ray, and serum autoantibodies. Serum VEGF-A levels were determined by ELISA in 72 SSc patients and 31 healthy controls.', 'Giant capillaries were inversely correlated with age (p=0.034, r=-0.34) and to the extent of reticular pattern at HRCT (p=0.04, r=-0.5). Avascular areas were directly correlated with capillaroscopy skin ulcer risk index (CSURI) (p=0.006, r=+0.4) and severity index (p=0.004, r=+0.5). The mean capillary density was directly correlated to the ulcer number (p=0.02, r=+0.4) and to DLCO/alveolar volume (p=0.02, r=+0.4) and inversely correlated with severity index (p=0.01, r=-0.4) and skin score (p=0.02, r=-0.4). Serum VEGF levels were higher in the SSc population vs controls (p=0.03) and inversely correlated with DLCO (p=0.01, r=-0.4) and directly with ground-glass and reticular pattern at HRCT (p=0.04, r=+0.4 for both).
Answer: Our data suggest the importance of NVC not only for the diagnosis, but also for the global evaluation of SSc patients. Of note, serum VEGF levels may act as a biomarker of interstitial lung involvement.
A:
Are nailfold videocapillaroscopy and serum VEGF levels in scleroderma associated with internal organ involvement?