Inflammatory disorders Flashcards
rheumatoid arthritis
Auto immune, systemic, chronic
Inflammation disease of synovium – joints lining
cause of RA
Unknown
Possible, environmental and genetic exposure
risk factors of RA
40-60
Women
Tobacco use
patho of RA
autoimmune attack synovial tissue
Lympho/macrophages immune cells activated
rheumatoid factor – auto antibody versus IgG
Formation of immune complexes in activated complement
Destruction of tissue from inflammation
what occurs from the progression of RA?
Scar tissue
Cartilage destroyed by osteoclasts
pannus causes erosion, cysts, Fissure development
early s/sx RA
fatigue, anorexia, Stiff
* symmetrical
Decreased ROM
Information, Dash heat, swell, tender
advanced sx RA
Deformity, swan neck in finger
Disability
rheumatoid nodules
Immune mediated, granulomas develop around information of joints and lungs
Subcutaneous, firm
Fibrous tissue with necrotic filling
systemic lupus erythematous
autoimmune versus own DNA
Inflammation, multi organ
Acute flareups
discoid lupus
Targets skin
systemic, lupus
Target organs
what type of hypersensitivity reaction is RA and Lupus
Type three
risk factors for lupus
Genetic
Female
20-40
African-American
Sun exposure
Allergic to antibiotics
Hormonal factor-estrogen
Tobacco
patho of lupus
abnormal immune response
B lymphocytes, hyper active and produce anti-nuclear antibodies
Activated versus DNA
Complex forms
Inflammatory, tissue destruction
CNS s/sx lupus
headache
Dizziness
Seizures
Stroke
lungs s/sx lupus
Pleuritis
Effusions
heart s/sx lupus
myocarditis
Endocarditis
kidney s/sx lupus
Nephritis
blood vessel s/sx Lupus
Vasculitis
blood s/sx lupus
Anemia
Leukopenia
Thrombocytopenia
Clots
joints s/sx Lupus
Arthritis
Lupus flares
acute exacerbation of symptoms
Fatigue, pain, headache
Prevention of lupus, flares
recognize warning signs
avoid triggers, sun, infection
Don’t abruptly stop meds
Stress management
sjögren syndrome
seen in both RA and Lupus
Auto immune destruction of any moisture producing gland
lacrimal gland sx
Gritty, dry, itchy eyes
salivary gland, SX
Fissured, dry tongue