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18 Cards in this Set

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  • Back
What are the antibodies that cause myasthenia gravis?
autoimmune antibodies to acetylcholine receptors on skeletal muscle fibers
What concurrent disorder is commonly found in patients with myasthenia?
Thymomas and thymus hyperplasia

Thymus cells from myasthenia patients can cause the production of AChR antibodies in mice.

Role of the thymus as primary or secondary is unknown
What clinical features are found with myasthenia patients?
Extraocular muscles involved
ptosis
diplopia
What treatment is given myasthenia patients?
Tensilon: anticholinesterase agent

Most patients improve with thymectomy
How is Duchenne muscular dystrophy inherited?
X-linked, effects mostly men
What is the clinical presentation of Duchenne?
Weakness in proximal muscles with enlargement, initially in calves.

Causes impaired contractile activity and other derangements in skeletal and cardiac muscles with progressive degeneration of muscle fibers.
What protein deficiency causes Duchenne?
dystrophin
What is the difference between Duchenne and Becker?
Duchenne dystrophin is absent completely, in Becker its mutated.

Becker is less severe.
What is the most common soft tissue tumor?
Lipoma: benign slow growers
Which variant of lipoma has pain?
angiolipoma: local pain on volar surface of the forearm
Where do liposarcomas arise?
deep tissues of the proximal extremities
What is a nodular fasciitis?
a reactive fibroblastic reaction that appears in areas of previous trauma (10-15% of the time)
What is Dupuytren's contracture?
fibromatosis of the palm. Papal sign.
What is Peyronie's disease?
Fibromatosis of the penis
What tissues are preferred by fibrosarcoma?
deep tissues of the thigh, knee, and trunk
What is the most common post radiation tumor?
Malignant fibrous histiocytoma which develops on the lower limbs and retroperitoneal areas in the 5th to 7th decade of life
What is a skeletal muscle neoplasm called? What the most common type?
rhabdomyosarcoma: a disease of childhood and infancy. Most common type is sarcoma botryoides.
What cells cause synovial sarcoma?
mesenchymal cells around large joints especially the knee