PEP Flashcards

1
Q

Clasificación del dolor articular

A

Interfalangicas distales
- OA
- Psoriatica
- Reactiva

interfalangicas proximales
- AR
- LES
- Psoriatica
- OA

metacarpofalangicas
- AR
- Pseudogota
- Hemocromatosis

Muñeca
- Pseudogota
- Gonococica
- AR
- Sd tunel carpeano

Dedo gordo
- OA

LAS PEP son oligoartritis

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2
Q

Clinica

A
  • 20-40 años
  • hombres
  • HLA-B27
  • Entesopatia
  • dactilitis
  • uveitis
  • EII
  • psoriasis
  • piel mucosa oral y genetal
  • Queratoderma blenorragico
  • Bloqueo AV
  • Bullas pulmonares
  • Amiloidosis
  • Nefropatía por IgA
  • tragus pared/ ocipucio pared
  • Test de Shober menor a 5 cm
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3
Q

HLA-b27, en que porcentaje se asocia a las enfermedades

A

E.A–> 90%
A reactiva –> 50-80%
resto–> 50%

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4
Q

A. reactiva

A

Infección urogenital o GI
- Lesion oral o genital

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5
Q

A. asosiada a EII

A
  • Entesopatia
  • Pioderma gangrenosa
  • eritema nodoso
  • primero artritis luego EII
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6
Q

Dx

A
  • Rx
  • RM
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7
Q

A. psoriatica

A
  • Interfalangicas distal
  • Obesidad FR
  • artritis periferica
  • Lesión ungleal
  • Dactilitis
  • onicodistrofia
  • pitting de uña

puede ser periferica o axial

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8
Q

tratamiento

A
  • Analgesia
  • inyección de corticoides si es local
  • terapia biologica
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