Autoimmune Connective Tissue Disease Flashcards

1
Q

Which diseases have RF antibodies

A

Sjogren’s - 100%
Felty’s - 100%
RA - 70%

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2
Q

Which diseases have ANA antibodies

A

SLE - >95%
Autoimmune hepatitis - 75%
Sjogren’s - 70%

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3
Q

Which disease has dsDNA antibodies

A

SLE

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4
Q

What antibody is associated with CREST

A

Anti-centromere

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5
Q

What antibodies are associated with Diffuse Systemic Sclerosis

A

Anti-Scl70 and Anti-RNA pol 1/2/3

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6
Q

What antibodies are associated with SLE

A

Anti-dsDNA, Anti-Ro, Anti-La, Anti-Sm, Anti-RNP

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7
Q

What antibodies are associated with Sjogren’s

A

RF, Anti-Ro, Anti-La

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8
Q

Patient has floppy ears, saddle-nose deformity and stridor

A

Relapsing polychondritis - causes tenderness, inflammation and destruction of cartilage

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9
Q

What diseases are associated with Relapsing Polychondritis

A

Aortic valve disease
Polyarthritis
Vasculitis

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10
Q

What are the common features of Behcet’s Syndrome

A

Recurrent oral and genital ulceration
Anterior/posterior uveitis
Erythema nodosum

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11
Q

Who is most likely to present with primary Sjogren’s

A

Women aged 30-50

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12
Q

What diseases can cause secondary Sjogren’s

A

RA
SLE
Systemic sclerosis

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13
Q

What diseases is Sjogren’s associated with

A

Thyroid disease, Autoimmune hepatitis, Primary biliary cirrhosis, Marginal zone MALT lymphoma

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14
Q

What can cause secondary Raynaud’s

A

Systemic sclerosis, SLE, RA, Sjogren’s, thrombocytosis, beta blockers

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15
Q

What is the colour change in Raynaud’s

A

White to blue to crimson

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16
Q

What are the features of Limited Systemic Sclerosis

A

CREST -
Calcinosis, Raynaud’s, Esophageal and gut dysmotility, Sclerodactyly, Telangiectasia
Skin involvement is limited to face, hands and feet (beak nose, microstomia)

17
Q

What are the GI features of Diffuse systemic sclerosis

A

GORD, aspiration, dysphagia, anal incontinence

18
Q

What are the resp features of Diffuse systemic sclerosis

A

Fibrosis and pulmonary HTN

19
Q

What are the cardiac causes of diffuse systemic sclerosis

A

Arrhythmias and conduction defects

20
Q

What are the renal features of diffuse systemic sclerosis

A

Acute hypertensive crisis

21
Q

What skin signs are present in dermatomyositis

A

Heliotrope rash on eyelids, Macular rash on back and shoulders, Nailfold erythema, Gottron’s papules, Rough skin cracking of fingertips

22
Q

How are the muscles affected in dermatomyositis

A

Progressive symmetrical proximal muscle weakness