Connective Tissue Disease Flashcards
what is the general pathology behind connective tissue disease?
autoimmunity
antibodies produced against the cells of the body
true or false: SLE affects more males than females
false
females nine times more than males
in which ethnic groups is the prevalence of SLE higher?
afro-americans
afro-caribbeans
asians
list general symptoms of SLE
fatigue
skin changes
malaise
joint pain
list skin changes in SLE
malar/butterfly/discoid rash. sparing nasolabial fold
photosensitivity
true or false: SLE can be a totally cutaneous disease
true
list musculoskeletal changes in SLE
joint pain
non deforming arthritis
myopathy
what is the difference between mild, moderate and severe SLE?
mild - simple cutaneous changes
moderate - arthritis, effusions etc.
severe - organ threatening disease
what are the main screening tests for SLE?
FBC
urinalysis
renal function
antibodies
what are the main antibodies that are raised in SLE?
ANA
anti-ds-DNA
anti-Sm
ENA
true or false: ANA is the most diagnostic antibody in SLE
false
anti double stranded DNA is the most specific
list the general treatment for SLE
NSAIDs
anti malarial
steroids
immunosuppressants
what is the anti malarial used for SLE?
hydroxychloroquine
true or false: steroids can be used as monotherapy in SLE
false
what is antiphospholipid syndrome?
an autoimmune disease where antibodies are produced against phospholipids, increasing the risk of blood clots