Connective Tissue Disease Flashcards

1
Q

TRUE or False

People with high oestrogen levels are more likely to suffer from Systemic Lupus Erythematosus?

A

TRUE

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2
Q

What virus has an association with Systemic Lupus Erythematosus?

A

Epstein-Barr Virus

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3
Q

What may UV light stimulate in SLE?

A

skin cells to secrete cytokines stimulating B cells

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4
Q

What do necrotic cells release in SLE?

A

nuclear material which act as potential autoantigens.

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5
Q

What do the autoantigens stimulate?

A

B and T cells

autoantibodies

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6
Q

What symptoms accompany SLE?

A
Fever
Malaise
Poor appetite
Weight loss
Fatigue
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7
Q

What mucocutaneous features appear in SLE?

A

photosensitivity
malar rash
discoid lupus erythmatosus
subacute cutaneous lupus

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8
Q

What musculoskeletal features are involved in SLE?

A
polyarthtitis/polyarthralgia
deforming arthropathy
Jaccoud's arthritis
erosive arthritis
myopathy, myalgia and myositis
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9
Q

What pulmonary features are associated with SLE?

A
Pleurisy
Infections
Diffuse lung infiltration and fibrosis
Pulmonary hypertension
Pulmonary infarct
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10
Q

What cardiac problems are associated with SLE?

A

Pericarditis
Cardiomyopathy
Pulmonary hypertension
Libman-Sachs endocarditis

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11
Q

How would glomeruloephritis present itself?

A
Proteinuria
Urine sediments
Urine RBC and casts
Hypertension
Acute renal failure
Chronic renal failure
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12
Q

What neurological features are associated with SLE?

A
Depression/psychosis
Migranous headache
Cerebral ischaemia
Cranial or peripheral neuropathy
Cerebellar ataxia
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13
Q

What haematological features of SLE are there?

A

Lymphodenopathy
Leucopenia
Anaemia
Thromboctopenia

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14
Q

What investigations should be done for SLE?

A
FBC
Renal function tests including urine examination
Anti-nuclear antibody
Anti-double stranded DNA antibodies
ENA
Complement levels
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15
Q

What is a positive anti-nuclear antibody test?

A

Titre of 1:160

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16
Q

What is the general management of Lupus?

A

Counselling
Monitoring
Avoid sun exposure
Pregnancy issues

17
Q

What are the drugs used in SLE treatment?

A

NSAID’s and analgesia

Anti-malarias - hydroxychloroquine

18
Q

Can steroids be used in SLE?

A

yes, but side-effects must be taken into account

19
Q

Can immunosuppressives be used in SLE?

A

Yes

20
Q

What biologics can be used in SLE?

A

Anti-CD20 - Rituximab

Anti-Blys - Belimumab