Rheumatology Flashcards
In SLE, do complement levels rise when there is a flare ?
No.
Complement is consumed in the response to the formation of immune antigen/antibody complexes.
Low complement levels = sign that SLE is active
Routine treatment for SLE ?
Hydroxychloroquine
What is livedo reticularis ?
Associated with SLE, antiphospholipid syndrome, systemic sclerosis, Sjogren’s
What condition is associated with anti- smooth muscle antibody ?
Autoimmune hepatitis
Is sacroiliits associated with ulcerative colitis ?
No.
Associated with Crohn’s.
occurs in about 20% of Crohn’s patients.
Reactive arthritis - what is found on joint aspiration ?
Nothing.
If you find microorganisms, it’s septic arthritis
Aortic valve incompetence is associated with which rheumatological conditions ?
Spondyloarthritides
Pseudogout X-ray finding
Chondrocalcinosis
Should allopurinol be stopped in acute flares of gout ?
NO!
Don’t start or stop allopurinol in acute flares
Treatment for fibromyalgia ?
V complex, requires atypical analgesics, graded exercise, psychological approaches like CBT
Polymyalgia inflammatory marker ?
ESR
Late onset asthma, rhinitis and eosinophilia
Eosinophilic granulomatosis with polyangiitis
Methods to reduce steroids’ side effects
Consider steroid sparing agents
Osteoporosis prophylaxis
Monitor cardiovascular risk factors
Use lowest possible dose for as short a time as possible
Monitor blood glucose
Tenderness in the heel on walking
Plantar fasciitis
Anti-PR3 is highly specific to what condition ?
GPA
