CT tx

Question 1

sjogrens synd

Answer 1

o Artificial tears
o Topical ocular cyclosporine improves ocular symptoms
o Oral hygiene/Sipping water/ Sugar free gum/pilocarpine/cevimeline
o Avoid atropinic drugs and decongestants
o No immunomodulatory drug has proved efficacious

Question 2

giant cell arteritis

Answer 2

corticosteroids hurry before blind!!

Question 3

SLE

Answer 3

o	Avoid sun exposure, wear sunscreen
o	NSAIDs
o	Corticosteroids (topical or systemic)
o	Hydroxychloroquine
o	Azathioprine
o	Methotrexate
o	Mycophenolate mofetil
o	Cyclophosphamide
o	IVIG(intravenous immunoglobulin)
o	Plasmaphoresis
o	Monoclonal antibodies

Question 4

Eosinophilic Granulomatosis with Polyangiitis (aka EGPA or Churg-Strauss Syndrome)

Answer 4

glucocoritcoids

Question 5

polyarteritis nodosa

Answer 5

corticosteroids

Question 6

raynauds

Answer 6

o Wear gloves when temperature outside is low/Keep warm (coats/hats, etc.)
o Lotions
o Stop smoking
o Limit use or stop sympathomimetic drugs
 Decongestants, diet pills, amphetamines
o Calcium channel blockers
o Surgery
 Medical and supportive treatment failed
 Attacks frequent and severe (digital ischemia)
 Sympathectomy

Question 7

IgAV aka HenochSchonlein Purpura (HSP)

Answer 7

supportive/glucocorticoids

Question 8

kawasaki synd

Answer 8

IVIg and ASA

Question 9

GPA (Granulomatosis with Polyangiitis: aka Wegener’s Granulomatosis)

Answer 9

Cyclophosphamide and high dose glucocorticoids or Rituximab

 Methotrexate can be considered if renal function is normal

Question 10

tokasaku arteritis

Answer 10

corticosteroids