MSK- spondyloarthropathies Flashcards
HLA B27 ‘PAIR’
psoriatic arthritis
ankylosing spondylitis
IBS (+ enteropathtic arthritis)
reactive arthritis
what is dactylitis
inflammation of the entire digit- ‘sausage’ digits
what is enthesitis
inflammation where the tendons/ligaments insert to the bone
Ankylosing spondylitis- the A disease (7)
axial arthritis
anterior uveitis
aortic regurgitation
apical fibrosis
amyloidosis/igA nepropathy
Achilles tendinitis
plAntar fasciitis
tests for ankylosing spondylitis
occiput to wall
schobers test
chest expansion
Reiter’s syndrome
urethritis
conjunctivitis/uveitis
arthritis
is ankylosing spondylitis more common in men or women
men
first like medication in ankylosing spondylitis
NSAIDs- prescribed with PPI
when are DMARDs useful in patients with ankylosing spondylitis
patients with peripheral joint disease- do not improve spinal inflammation
complication of ankylosing spondylitis that requires regular screening
osteoporosis
gold standard test for ankylosing spondylitis
MRI scan
first line investigation for ankylosing spondylitis
XRAY spine and pelvis
is psoriatic arthritis usually symmetrical/assymetrical
symmetrical polyarthritis
assymetrical oligoarthritis
where does psoriatic arthritis predominantly affect
joints of hands and feet
psoriatic arthritis on XRAY
marginal erosions and “whiskering”
osteolysis
enthesitis
psoriatic arthritis typically affects which joints of the hands
distal interphalangeal joints
what is the pencil in cup deformity
most severe case of psoriatic arthritis- involves ‘telescoping’ of affected fingers and toes
most common reactive arthritis infections
urogenital eg chlamydia, neisseria
enter-genie eg salmonella, campylobacter
reactive arthritis way to remember symptoms-
can’t see, can’t pee, can’t bend the knee
nail changes in psoriatic arthritis
nail pitting
oncholysis
yellowing
psoriatic arthritis occurs in approximately what percentage of patients with psoriasis
8%
arthritis mutilans occurs in what percentage of psoriatic arthritis patients
5%- severe form
ASAS classification criteria for axial spondylarthritis (SpA)
> /= 3 months back pain <45 years
sacrolitis on imaging and >/=1 SpA feature or HLA B27 positive and ≳ 2 other SpA features
what are the bony spurs seen on XRAY of a patient with ankylosing spondylitis also known as?
syndesmophytes
