JRA Flashcards
Still disease accounts
For how many percent in the disease
20% of JRA
age
skin manif in 40% of young patients age 7-25 yo.
lesions
evansecnet; non pruritix salmon pink macular papular lesions on the trunk and extremities may precede onset of joint manif by months.
High ferritin levelsX neutrophilic panniculitis
tx
Steroid sparing agents
Refrafory dx- tx w biologic agents as desc pulse methylpred an cyclophosphamide.
anakinra and canakinumab may be helpful.
a rare condition char by bilateral distal polyarthritis, flexion contractures. cutaneous nodules, sclerodactylitis, thickened palmar fascia, reynaud phenomenon.
Biopsy : fibroblastic prolif w collagenous stroma varying from smooth muscle actin positive cellular fasicles to paucicellular areas w randomly arranged spindle or stellate cells.
tx: immunosupp agents typically methotrexate and oral steroid
Fibroblastic rheumatism
Symmetric syndovitis may also be a manif of what syndrome
Blau syndrome
Relapsing polychondritis tx
nsaid steroid trad immunosup.
cyclophosphamide extremely severe dxZ
Relapsing polychondritis histo
RP(N)
Neutrophilic infiltrate in perichondrium.
Magic syndrome Is ancombination of what 2 disease?
Behcet disease and relapsing polychondritis.