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12 Cards in this Set

  • Front
  • Back

Discoid lupus

Negative ANA/ds-DNA


Photosensitive rash


Alopecia


Afrocaribbean

Gonococcal arthritis

Fever


Polyarthralgia


Tenosynovitis


Dermatitis (painless vesiculopustular lesions)


Treat with NSAID, ceftriaxone, azithromycin

Multicentric histiocytosis

Nail fold nodules "coral beads" appearance


Microscopy of nodules infiltrate: PAS positive cytoplasm



Some get arthritis

Dupuytren contracture

25%: elderly Scandinavian


10%: alcoholism


8%: diabetes

Raynaud's causes

Beta blocker


Cytotoxic


Ciclosporin


Osteomalacia

Looser's zones - low density bands extending from cortex inwards


Hypocalcaemia + raised ALP

Sclederma renal crisis

Anti-RNA polymerase III positive


Urine dip proteinuria

Relapsing polychondritis (Vs Wegener's)

Both can cause saddle nose, however the following suggest RP instead of Wegener's:


- auricular chondritis (inflammation of external pinna)


- relapsing arthritis

APLS

Visual loss - think branch retinal vein occlusion (BRVO)


In pregnancy and 6weeks postpartum need daily sc LMWH


Prednisolone only indicated in catastrophic APLS (multi-organ involvement)

Secondary inflammatory amyloidosis

Renal + liver involvement


Caused by any inflammatory condition


Improves when the underlying cause improves

Osteosarcoma risk factors

Retinoblastoma


Previous radiotherapy


Paget's disease

Primary Vs secondary raynaud's

Nail fold capilloroscopy is the investigation of choice to distinguish whether Raynaud's is secondary to any CTD