Seronegative Arthritides Flashcards
1
Q
Why is ankylosing spondylitis called the “A disease”?
A
Anterior Uveitis Aortic Regurgitation Apical fibrosis Amyloidosis/ Ig A Nephropathy Achilles tendinitis Plantar Fasciitis
2
Q
Is ankylosing spondylitis better or worse on exercise?
A
Ankylosing spondylitis is better during exercise
3
Q
Which condition is sacroiliitis seen in?
A
Ankylosing spondylitis
4
Q
Diagnosing Ankylosing Spondylitis?
A
- Lower back pain for 3 months
Improved with exercise
Not relieved by rest - Limited lumbar motion – Schober’s test
- Reduced chest expansion
- Bilateral, Grade 2 to 4, sacroiliitis on X ray
- Unilateral, Grade 3 to 4, sacroiliitis on X ray
Definite AS if Criterion 4 or 5, plus 1,2 or 3
5
Q
Treatment for Ankylosing Spondylitis
A
Home exercises Physiotherapy Occupational therapy NSAIDS corticosteroids Anti-TNF, infliximab, adalimumab
6
Q
Clinical features of psoriatic arthritis
A
- Sacroilitis
- Nail involvement
- Enthesitis
- Extra articular (eyes)
- Dactylitis
7
Q
X-ray deformity in psoriatic arthritis?
A
Pencil in cup
8
Q
Treatment for Psoriatic arthritis
A
Medical: NSAIDs Corticosteroids/joint injections Disease Modifying Drugs (MTX,SZP…) Anti TNF – Etanercept (Enbrel)
Non medical:
Physiotherapy
Occupational Therapy
Orthotics, Chiropodist
9
Q
Mucocutaneous lesions seen in reactive arthritis?
A
Keratodema Blenorrhagica
Circinate balanitis
Painless oral ulcers
Hyperkeratotic nails
10
Q
How do you rule out infection in a suspected case of reactive arthritis?
A
Joint fluid analysis
