Autoantibodies
Positive RF, ANA, SCL-70 with a positive tent test
What is Scleroderma?
Pt has rash along cheeks and nose that spares nasolabial folds
(BE SPECIFIC)
What is acute cutaneous Lupus?
Pt has positive biopsy of salivary gland with lymphocyte infiltration can we make a diagnosis?
Yes this is Sjogren's
What is the first line treatment for a lupus flare?
What are low dose corticosteroids?
Pt has 2 fingers affected that turn white in the cold which form of Raynaud's is this?
This is primary Raynaud's and it is unassociated from Autoimmune diseases
Positive RF, ANA, SSA, SSB
positive Schirmer Test
What is Sjogren's?
Calcinoses of the fingers with GI dysfunction and Raynaud's
What is Scoleraderma?
Pt has had recent biopsy of kidney which came back positive for SLE class III is this enough for complete diagnosis
Yes
What is used to prevent renal crisis in Scleroderma?
What are ACE inhibitors?
What is the common systemic heart manifestation?
What is pericarditis (flask appearance)?
Complement in low (C3, C4), low platelets, with positive DsDNA
What is Lupus?
Pt has shoulder pain (unilateral shoulder bursitis) with prolonged morning stiffness and fatigue
What is polymyalgia Rheumatica?
Pt is on isoniazid with a positive ANA and joint pain is this a enough for a lupus diagnosis?
NO you would need to test for AntiDsDNA
Pt is unresponsive to TNF-a inhibitors with a high CRP what is the next line treatment?
What are Il-6 inhibitors?
Pt has less pain after activity what is this called
Positive RF, ANA, CCP
Rheumatoid Arthritis
Pt has foot drop with seizures and scarring alopecia
What is Chronic Discoid Lupus (systemic)?
Pt has joint aspiration with WBC > 10,000 but a negative RF what is the next test to order?
What is not responsive to corticosteroids when pt is having joint pain in the knees symmetrically?
What is Osteoarthritis?
The most common joints associated with inflammatory arthritis
Elevated CRP, ESR
Negative ANA
Negative RF
Low blood count
What is Polymyalgia Rheumatic?
Pt presents with splenomegaly, reactive arthritis, neutropenia and has a leg ulceration
What is Rheumatoid arthritis?
How many points are needed on the Scleroderma scale for a diagnosis?
What is 9 points?
What is the necessary long term treatment of lupus?
What is Hydroxychloroquine?
Pt has lung X-ray and it is described as honey comb appearance
What is Interstistial Lung Disease?