Connective Tissue Diseases Flashcards

1
Q

Give some general symptoms of autoimmune diseases

A

Fatigue
Arthritis
Myalgia
Mucosal ulcers

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2
Q

Give some examples of connective tissue diseases

A
SLE
Antiphospholipid  syndrome
Sjogren's
Polymyositis
Systemic sclerosis
Mixed connective tissue disease
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3
Q

What is the main antibody involved in antiphospholipid syndrome?

A

Antibodies to phospholipid binding proteins

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4
Q

What is involved in antiphospholipid syndrome?

A

Venous or arterial thrombosis with adverse pregnancy outcomes

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5
Q

How is APS treated?

A

Lifelong anticoagulation
Aspirin
Hydroxycholoroquine

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6
Q

What is Sjogren’s syndrome?

A

A chronic autoimmune inflammatory disorder with diminished lacrimal and salivary gland function

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7
Q

What are the main clinical features of Sjogren’s?

A

Dry eyes, mouth, throat and vagina

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8
Q

What are the main antibodies seen in Sjogren’s?

A

Anti-Ro

Anti-La

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9
Q

How is Sjogren’s treated?

A

Artificial tear supplements
Ciclosporin eye drops
Hydroxychloroquine

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10
Q

What are the pathological features of systemic sclerosis?

A

Vascular endothelial changes

Fibrosis

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11
Q

What sites are affected in diffuse cutaneous systemic sclerosis?

A

Skin proximal to forearms and torso

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12
Q

Name the main antibodies seen in diffuse cutaneous systemic sclerosis

A

Anti-topoisomerase
Anti-SCL-70
Anti-RNA III polymerase

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13
Q

What sites are affected in systemic sclerosis?

A

Skin distal to forearms

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14
Q

What antibody is seen in systemic sclerosis?

A

Anti-centromere

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15
Q

Give some clinical features of systemic sclerosis

A

Sclerodactyly
Calcinosis
Heartburn
Interstitial lung disease

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16
Q

Name some treatments for systemic sclerosis

A

Symptom based i.e.
Calcium-channel blockers
Immunosuppresion
PPIs

17
Q

Mixed connective tissue disease has features of what diseases?

A

SLE
Polymyositis
Systemic sclerosis

18
Q

What antibody is seen in mixed connective tissue disease?

A

Anti-RNP