#10: Rheumatologic DZ

Question 1

GCA MC affects these arteries: (4)

Answer 1

1- superficial temporal
2- occipital
3- opthalamic
4- posterior ciliary

Question 2

ACR DX Criteria for GCA requires 3+ or more of these 5 criteria:

Answer 2

1- 50 yo or older
2- New onset localized HA or localized head pain
3- Temporal artery tenderness to palpation or decreased pulsation
4- ESR of 50 mm/h or higher
5- Positive arterial bx
—vasculitis characterized by mononuclear infiltration or granulomatous inflammation, usually w. multinucleated giant cells

Question 3

MC joints affected by PAN: (5)

Answer 3

Peripheral nerves
Gut
Skin
Joints
Kidney

Question 4

___% of pts with PMR develop GCA and ___% of pts with GCA have associated PMR

Answer 4

15%

40-50%

Question 5

How do you DX PMR?

Answer 5

CLINICAL DX that Rqs:

• correct pt population (>50 yo)
• rapid SXS improvement with steroids
• elevated CRP/ESR

Question 6

How does PMR present?

Answer 6

• proximal myalgia of the hip and shoulder girdles with morning stiffness >1 hr
• difficulty rising from chair or raising arms above head