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19 Cards in this Set
- Front
- Back
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SSA's are a group of _ joint disorders characterized by _ (4)
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inflammatory
Lack of RF Axial involvement (spinal) HLA-B27 association Enthesitis (inflammation of sites where tendons and ligaments attach to bone) |
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What are the disorders included in SSAs (for our purposes)?
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anklyosing spondylitis, psoriatic arthritis, reactive arthritis (aka Reiter’s syndrome).
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The _ is the major target in SSA's.
The _ is the major target in OA The _ is the major target in RA |
Enthesis
Cartilage Synovium |
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Areas most commonly affected in enthesitis are _
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epicondyles, calcaneus, attachement of pectoral muscles
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Patients with SSA's often have a variety of _ , which help to distinguish between the different disorders
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Mucocutaneous lesions
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The synovial fluid in reactive arthritis is _
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sterile
(despite reactive arthritis arising from an infection) |
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What are the cutaneous findings in reactive arthritis?
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Oral ulcerations
Keratoderma blennorrhagica |
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Reactive arthritis is linked to _ infections
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bowel
(also UTIs - chylamydia) |
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A 23 yo male presents with chronic persistant lower back pain, which is worse in the morning and improves with activity. He complains of often waking in the middle of the night because of his pain. He gets up, paces for about 20 minutes and is able to go back to bed. What is your suspected diagnosis?
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Ankylosing Spondylitis
Young adult male with SI joint involvement that improves with activity |
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"Bamboo spine" is classically found in what disorder?
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Ankylosing spondylitits
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Ankylosisng spondylitis affects M/F more?
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Males
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Involvement of the _ helps to distinguish psoriatic arthritis from RA.
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DIPs
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A patient presents with a swollen and tender nodules on the distal joints in her fingers. Upon P/E you note dry skin behind her ears. What is your suspected diagnosis?
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Psoriatic arthritis
This is the classic, "textbook" example, but not the most common |
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What is the most common presentation of psoriatic arthris?
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inflammatory asymmetric oligoarthritis (swollen finger, knee, ankle) and psoriasis
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_ is an erosive disease however the density of the bone is normal.
Compare to _, which is also an erosive disease, but the density is abnormal |
Psoriatic arthritis
OA |
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"Pencil in a cup deformity" is associated with _
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psoriatic arthritis
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How do you treat SSAs?
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NSAIDs (its an inflammatory disease)
DMARDs and biological agents have been shown to have the biggest effect on these pts |
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In Anklyosing Spondylitis there is (decreased/normal) disc space.
Also, there are _ oriented processes, which can be contrasted to OA which has _ oriented. |
NORMAL
vertically oriented processes horizontally oriented osteophytes |
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Pt presents with asymmetric oligoarthritis on the lower extremities, dactylitis, and oral ulcers. Lab results reveal normocytic anemia, and increased ESR. What other (extraarticular) symptoms could be present in this patient?
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(This is describing Reiter's)
Can also involve conjunctivits, anterior uveitis, urethritis/ |
