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44 Cards in this Set
- Front
- Back
Describe the effect(s) of SLE on the following organ: Skin
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Malar rash, discoid rash, photosensitivity
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Describe the effect(s) of SLE on the following organ: Joints
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arthritis, arthralgias
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Describe the effect(s) of SLE on the following organ: CNS
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neuropsychiatric changes or seizures (secondary to cerebral vasculitis)
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Describe the effect(s) of SLE on the following organ: Heart
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Pericarditis, Libman-Sacks endocarditis (SLE-->LSE)
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Describe the effect(s) of SLE on the following organ: lungs
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Pleuritis, pulmonary fibrosis
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Describe the effect(s) of SLE on the following organ: GI
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Oral and nasopharyngeal ulcers
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Describe the effect(s) of SLE on the following organ: Kidneys
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wire-loop glomerular lesions and mesangial immune complex deposits leading to glomerulonephritis
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Describe the effect(s) of SLE on the following organ: Hematology
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hemolytic anemia, leukopenia, thrombocytopenia, Raynaud's phenomena
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What pathologic finding is common to all tissues affected by SLE?
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Acute necrotizing vasculitis of small arteries and arterioles caused by immune complex deposition
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Libman-Sacks endocarditis causes sterile vegetations to form on both sides of which cardiac valve?
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mitral valve
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Name five medications capable of inducing a lupus-like syndrome.
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Hydralazine, INH, phenytoin, procainamide, penicillamine
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Name the disease related to SLE that is characterized by immune complex deposition at the dermal-epidermal junction
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Discoid lupus erythematosus
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What disease is associated with ANA (antinuclear antibodies)?
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SLE (sensitive but not specific for SLE)
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What disease is associated with Anti-ACh (acetylcholine)?
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Myasthenia gravis
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What disease is associated with antibasement membrane antibody?
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Goodpasture's disease
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What disease is associated with anticentromere antibodies?
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CREST syndrome (Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly, Telangiectasias
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What disease is associated with Anti-dsDNA antibodies?
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SLE (highly specific for SLE)
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What disease is associated with antiepithelial cell antibodies?
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pemphigus vulgaris
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What disease is associated with antigliadin Ab?
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Celiac sprue
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What disease is associated with antihistone Ab?
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drug-induced lupus erythematosus
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What disease is associated with Anti-IgG Fc antibody?
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rheumatoid arthritis (this is rheumatoid factor)
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What disease is associated with AntiJo1 Ab?
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myositis
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What disease is associated with antimicrosomal Ab?
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hashimoto's thyroiditis
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What disease is associated with antimitochondrial Ab?
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primary biliary cirrhosis
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What disease is associated with Anti-nRNP (nuclear ribonucleoprotein)
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mixed connective tissue disease
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What disease is associated with antiplatelet Ab?
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ITP
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What disease is associated with Anti-Scl-70 (DNA topoisomerase 1)?
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Diffuse scleroderma
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What disease is associated with anti-smith Ab?
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SLE (highly specific for SLE)
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What disease is associated with Anti-SS-A (Ro) and anti-SS-B (La) Ab?
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Sjogren syndrome
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What disease is associated with antithyroglobulin Ab?
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Hashimoto's thyroiditis
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What disease is associated with anti-TSHr (TSH receptor) Ab?
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Grave's disease
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What disease is associated with C-ANCA?
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Wegener's granulomatosis
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What disease is associated with perinuclear pattern of antineutrophil cytoplasmic antibodies (P-ANCA)?
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Micropolyarteritis nodosa; Churg-Strauss
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Name the autoimmune disease of connective tissue associated with the following clinical and pathologic findings: keratoconjunctivitis sicca or xerophthalmia, xerostomia, and evidence of other connective tissue disease.
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Sjogren syndrome
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Name the autoimmune disease of connective tissue associated with the following clinical and pathologic findings: myositis and heliotrope rash.
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Dermatomyositis
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Name the autoimmune disease of connective tissue associated with the following clinical and pathologic findings: rapidly progressive diffuse fibrosis of skin and involved organs including the heart, GI tract, kidney, lung, muscle, and skin
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Diffuse scleroderma
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Name the autoimmune disease of connective tissue associated with the following clinical and pathologic findings: CREST syndrome
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localized scleroderma
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Name the autoimmune disease of connective tissue associated with the following clinical and pathologic findings: disease of connective tissue that lacks renal involvement.
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mixed connective tissue disease
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What is the most common cause of death due to scleroderma?
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renal crisis (occurs in 50% deaths from scleroderma; treat with ACE inhibitors)
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Name the group of disorders characterized by extracellular deposition of protein in a beta-pleated sheet conformation.
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Amyloidosis (birefringence with Congo Red stain)
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Name the effect of amyloidosis on the following organ: kidneys
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Glomerular, peritubular, and vascular hyalinization
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Name the effect of amyloidosis on the following organ: liver
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hepatomegaly (amyloid deposition in space of Disse)
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Name the effect of amyloidosis on the following organ: heart
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restrictive cardiomyopathy
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Name the effect of amyloidosis on the following organ: tongue
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hypertrophy due to amyloid deposition
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