Antibody Antics
The Great
Vessel-sby
Joint Custody
Drugged and Confused
Zebra in the Rheum
100

In lupus, low levels of these complement proteins often accompany disease flares

What are C3, C4?

100

This “morning stiffness > 1 hour” is classically seen in this arthritis

What is Rheumatoid Arthritis?

100

This viral infection can present as symmetric arthritis and sometimes mimic RA

What is Parvo-B19 virus?

100

This molecule is inhibited by methotrexate

What is dihydrofolate reductase?

100

The triad of arthritis, conjunctivitis, and urethritis defines this syndrome.

What is Reactive Arthritis?

200

The ANCA subtype most strongly associated with microscopic polyangiitis

What is MPO-ANCA, P-ANCA

200

This medium-vessel vasculitis can spare the lungs yet involve renal ischemia, neuropathy, and mesenteric symptoms

What is polyarteritis nodosum?

200

This dermatologic condition is associated with arthritis mutilans.

What is psoriasis?

200

This JAK inhibitor carries a warning for thromboembolic risk

What is tofacitinib?

200

This syndrome is characterized by fever, rash, arthritis, and very high ferritin in adults.

What is adult-onset Still’s disease?

300

Anti–RNA polymerase III antibodies in systemic sclerosis are associated with increased risk of this complication

What is scleroderma renal crisis?

300

In eosinophilic granulomatosis with polyangiitis, which organ system most often drives mortality?

What is the heart?

300

This musculoskeletal complication is classically seen in hemochromatosis

What is MCP joint arthropathy (“iron fist” arthritis)?

300

This RA drug carries a boxed warning for GI perforation.

What is tocilizumab?

300

This autoinflammatory disease features cold-induced urticaria, deafness, and risk of amyloidosis.

What is Muckle-Wells syndrome?

400

Anti–Jo-1 is one example of this group of antibodies in idiopathic inflammatory myopathy

What are antisynthetase antibodies?

400

This positive skin test is usually seen in a vasculitis associated with oral ulcers, genital ulcers, uveitis. 

What is pathergy test?

400

Which endocrine disorder can mimic proximal muscle weakness of polymyositis?

What is hypothyroidism?

400

Which urate-lowering agent increases risk of cardiovascular death compared to allopurinol?

What is febuxostat?

400

Which enzyme defect (in the cytolytic pathway) predisposes to macrophage activation syndrome in Still’s disease?

What is perforin (PRF1) deficiency?

500

In overlap syndromes, presence of anti–U3 RNP (fibrillarin) is most strongly associated with this organ manifestation

What is pulmonary hypertension (+/- cardiac disease)?

500

This ANCA-negative small-vessel vasculitis presents with recurrent pulmonary hemorrhage and rapidly progressive glomerulonephritis is mediated by which antibodies?

What are anti–GBM antibodies?

500

Palindromic rheumatism is strongly associated with this antibody.

What is anti-CCP?

500

This biologic targeting IL-12/23 has been associated with a paradoxical induction of arthritis in patients treated for psoriasis.

What is ustekinumab? (stelara)

500

This extremely rare syndrome combines adult-onset progressive muscle weakness, dysphagia, and inflammatory myopathy with a high risk of cardiac involvement, often mimicking polymyositis but with poor response to standard immunosuppression.

What is necrotizing autoimmune myopathy (NAM)?