Rheumatoid arthritis Flashcards
Ocular manifestation of RA
Keratoconjuctivitis sicca
episcleritis (erythema)
scleritis (erythema and pain)
corneal ulceration
keratitis
RA xRay finding
Periarticular and juxtaarticular osteoporosis
Subluxation
RA resp complications
Fibrosis
Pulmonary nodules
Methotrexate pneumonitis
Uncommon coplications of RA
Felty - RA + splenomegaly + low white cell coun
Mx of RA flares
Steroids PO
LT management of RA
Methotrexate
Side effects
- Pneumonitis
- Bone marrow suppresion
- Liver cirrhosis
Methotrexate
Side effects
oligospermia
Stevens-Johnson syndrome
pneumonitis / lung fibrosis
myelosuppression, Heinz body anaemia, megaloblastic anaemia
may colour tears → stained contact lenses
Sulfasalazine
If at least 2 DMARDs don’t work
Etanercept - TNF alpha