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23 Cards in this Set

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autoimmune hemolytic diz
Anti-RBC
warm AB: IgG, severe anemia, splenomegally, High MCHC(more HgB/RBC even though loss of blood volume)*: lifelong, temp>37, central body

Cold AB: IgM, anemia, Raynauds, acrocyanosis(hands, toes, scrotum)
Bullous pemphigoid
Anti-epidermal Basement membrane
cause: bullae (between epidermis and BM), puritis, elederly
Type 1 DM, insulin-dependent DM
Anti-islet cells
cant make insulin
hyperglycemia, DKA risk, infections, retinopathy, nephropathy, atherosclerosis, neuropathy (loss of pain sensation)
pemphigus
anti-keratinocyte jnx in epiderm.
nikolsky's sign, oral and skin ulcers, older >_55
vesicles form in the epidermis
pernicious anemia
anti-intrinsic factor, antiparietal cell
must have type A (autoimmune) gastritis before.
megaloblastic anemia, gastritis, vitamin B12 deficiency
polyarteritis nodosa
inflamation of medium sized arteries. Tetrad; fever, HTN, abdominal pain, renal dis. (w/out glomerulonephritis because glomeruli are small vessels and capilaries)
microscopic polyangitis
P-ANCA (perinuclear-antinuclear cytoplasm antibodies)
affects small blood vessels including caps.
hemoptysis (lungs served by small caps), hematuria (kidney caps rupture), palpable purpura(small caps in skin rupture) (with glomerulonephritis because small caps in glomeruli)
polymyositis
anti-jo1
proximal muscle weaknes, elevated muscle enzymes(in skeletal, cardia, brain, CPK), elevated myoglobin (in skeletal, higher affinity for o2 than HGb, high in O2 deprivation, skeletal damage> increase in blood to kidney>nephrotoxic>renal failure)
progressive systemic sclerosis
Anti-Scl 70
viscerla organ fibrosis, facial tightening, sclerodactyly
sjogren's syndrome
Anti-SSa (anti-ro), Anti-SSb (anti-LA)
Xerostomia (drymouth>carries, infections), keratoconjuctivitis sicca (corneal ulcers, or erosions), arthritis.
Idiopathic thrombocytopenic purpura
Anti-structural platelets
thrombocytopenia, petechiae&purpura, mucosal bldg
Vitiligo
Anti-melanocyte
hypopigmented areas of skin, white hair in area of affected skin, sunburn risk
rheumatoid arthritis
4/7 criteria must be present
morning stiffness>1hr
arthritis in 3 or more joints simultaneously
arhtritis in hand joints
symmetrical arthritis
rheumatoid nodules(on extension surface or arm and dorsum of hand)
serum rheumatoid factor (Anti-IgG)
erosion or bony decalcification identifiable on Xray
systemic Lupus erythematosus
M: malar rash
D: Discoid Rash
S: serositis
O: oral ulcers
A: arthritis
P: photosensitive
B: blood cells
R: raynauds
A: ANA,
I: immunologic: Anti-DsDNA, Anti-smith
N: Nephropathy Lupus( wire loops)
Drug induced Lupus
Anti-Histone
Arthralgia, Fever, Serositis

most commonly: hydralazine, procainamide
Crest: focal sclerosis
Anti-centromere
C: calcinosis
R: raynauds
E: esophageal dysmotility(dysphagia for both solids and liquids because decrease peristalsis)
S: Sclerodactyly
T: telangiectasia

(dysphagia only for solids: antaomical obstruction)
Mysthenia Gravis
Anti-Ach receptor
post-use episodi muscle weakness, ptosis (usually first sign), thymus gland pathologies.
worst in the evening
Graves diz
Anti-TSH receptor (antibody sit in the active site and activate thyroid gland)
symptomatic hyperthroidism, exophthalmos, pretibial myxedema (non-pitting edema, specific for graves).
Hashimoto's thyroiditis
Anti-microsomal (anti thyroid peroxidase, anti thyroglobulin)
nontender goiter, typically female, hypothyroidism (becomes symptomatic)
Wegners granulomatosis (caps are inflamed)
anti-neutrophil cytoplasm (ANCA)
sinusitis, glomerulonephritis, lung lesions (cavitary)
celiac sprue
Anti gliadin (wheat, rye, barley, oats)
Malabsorption ( often wiht diarrhea), dermatitis herpetiformis, short stature
destruction of villi
Goodpasture's syndrome
Anti-glomerular basement membrane (antigbm)
severe glomerulonephritis, pulmonary hemorrhage, dyspnea
primary biliary cirrhosis
Anti-mitochondrial
puritis (usually first sign due to accumulation of bile acids in skin), female, jaundice