Spondylarthritidies Flashcards
HLA-B27
Anterior uveitis (aka. iritis) Enteric arthropathy Psoriatic arthritis Ankylosing spondylitis Reactive arthritis
Enteric arthropathy
Psoriatic arthritis
Ankylosing spondylitis
Reactive arthritis
RhF -ve
Axial (spine/sacroiliac joints)
and joint inflammation is characteristic of the spondylarthritidies. it is called
dactylitis
Anterior uveitis Psoriaform rashes oral ulcers aortic regurgitation IBD
Plantar fascia
Calcaneal ligament
Chostrochondritis
Seronegativity HLA B27 + Axial arthritis Asymmetrical large joint oligoarthritis/mono Enthesitis Dactylitis Extra-articular manifestations
Spine
Sacroiliac joints
30
HLA b27
Night
end of the day
relieved
Exaggerated thoracic convex curvature
buttocks/hips
kyphosis
neck hyper-extension
Chostrochondritis
anterior uveitis
AR
pulmonary apical fibrosis
majority
Plantar fasciitis
Achilles
MRI
Sacroiliitis
calcification
Exercise
NSAIDs
TNF a blockers
Etanercept
Adalimumab
Golimumab
30
DMARDs
Symmetrical polyarthritis
Asymmetrical oligarthritis
Spinal
Psoriatic arthritis mutilans
Pencil in a cup
narrowed end of metacarpal or phalanx inserts into expanded end of adjacent bone
Palmo-plantar pustulosis
NSAIDs
DMARDs + ciclosporin
urethritis
Dysentry
clinical
1-4 weeks
lower
Keratoderma blenorrhagica
Circinate balanitis
Urethritis
Conjuctivitis
arthritis
Nothing it is sterile
> 6 months
Methotrexate
sulfasalazine
no effect