OTHER ARTHOLOGIES II

Question 1

name this type of systemic sclerosis for raynauds phenom?

Answer 1

No definable etiology for the vascular event

More common than Secondary

Females > Males

Age of onset 15-30 years of age

Aggravating factors for attacks: Hypertension,
Diabetes, etc.

Question 2

name this type of systemic sclerosis for raynauds phenom?

Answer 2

associated with a disease or cause that may underlie the attacks

• SLE
• scleroderma
• Sjorgen’s

environmental/occupational

hypothyroidism

drugs/toxins

hematologic disorders

high risk:male, asymmetric

Question 3

for raynauds phenom, what does white color change mean?

blue color change?

red color change?

Answer 3

vasospasm, stop capillary perfusion

arterial relaxation of spasm

reactive hyperemia with dilated capillaries increasing blood flow

Question 4

name this type of systemic sclerosis?

puffy hands with skin thickening extending to arms, thighs, trunck

rapid progression of skin thickening

early development internal organ involvement

• lung fibrosis
• Increased risk for renal crisis

poor prognosis

Answer 4

Diffuse cutaneous systemic sclerosis

Question 5

on a broad scale, how does systemic sclerosis present?

Answer 5

cutaneous
MSK
pulmonary
GI
cardiac/renal

Question 6

how is systemic sclerosis diagnosed?

Answer 6

Raynaud’s 
Labs
-ANA
-Anti-RNA pol III antibody
-other labs to rule ddx
radiographs
-calcinosis
-contractures
-osteopenia

Question 7

systemic sclerosis treatment?

Answer 7

varies depend on symptoms and organ system involvement

for raynauds, keep finger/toes warm

RA consult