Rheumatology 1 Flashcards
Main cytokine driver in RA?
TNF-a
Best treatment for RA?
Best treatment for seropositive RA?
Methotrexate
Rituximab
NSAIDS cause what in fetus?
Premature PDA closure
Ankylosing spondylitis has what clinical feautres?
Anterior Uveitis Aortitis/Aortic dilatation Aortic regurgitation Achilles Enthesitis IBD
Criteria to use TNF-a inhibitors in ankylosing spondylitis?
Uveitis
Enthesitis
Axial involvement - early phase
Clinical features specific for Psoriatic arthritis?
Nail oncholysis
Best treatment for psoriatic arthritis?
Best treatment for extra-articular Psoriatic arthritis?
Methotrexate
-UV light if has skin lesions
Ustekinumab/Secukinumab
Pathognomic for Reactive arthritis?
Keratoderma blenorrhagicum
How does sweet soft drinks increases gout?
Increases purine - and then purine to uric acid
When gout manifest?
Urate > 0.40
Xray of gout shows?
Tophi
Punched out lesions/sclerotic
Colchicine mechanism in gout?
Inhibit neutrophil chemotaxis towards uric crystals
Colchicine and clarithromycin?
NO - FATAL
pseudogout - which joint?
Knee (medial calcinosis > lateral) - chondrocalcinosis ( Calcium pyrophosphate deposition)
Contraindication for using pegloticase/rasburicase?
G6PD