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RHEUMATOLOGY SECTIONINTERNAL MEDICNE
BOARD REVIEW COURSE
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SERONEGATIVE SPONDYLOARTHROPATHIES
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SNSA UNIFYING FEATURES• sacroiliac joint involvement (axial disease) with inflammatory back pain• peripheral joint involvement (non-axial disease)• no RF• extra-articular features:
• HLA-B27• enthesopathy• dactylitis• mucocutaneous disease• conjunctivitis/uveitis• cardiac disease (valvular / conduction)
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ANKYLOSING SPONDYLITIS
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AS / PULMONARY DISEASE
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AS / CARDIAC DISEASE
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REITER’S / REACTIVE ARTHRITIS
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PSORIATIC ARTHRITIS
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PSORIATIC ARTHRITIS
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PSORIATIC ARTHRITIS
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IBD-Related Arthritis
• Peripheral (parallels IBD activity)
• Axial (does not parellel, more HLA B27+)
• Other extraintestinal features– Uveitis– Sclerosing Cholangitis– E. nodosum– Pyoderma gangrenosum
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RHEUMATOID ARTHRITIS
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RA & RHEUMATOID NODULE
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INFECTIOUS ARTHRITIS
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NONGONOCOCCAL BACTERIAL ARTHRITIS
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NONGONOCOCCAL ARTHRITIS
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INFECTIOUS BURSITIS
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TUBERCULOUS ARTHRITIS
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ACUTE RHEUMATIC FEVER
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ACUTE RHEUMATIC FEVER
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ACUTE RHEUMATIC FEVERE. MARGINATUM
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CRYSTALLINE ARTHRITIS
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CRYSTALLINE ARTHRITIS
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CRYSTALLINE ARTHRITIS
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HADDHYDROXYAPATITE DEPOSITION
DISEASE
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HIV-ASSOCIATED ARTHROPATHIES
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HIV
• Incomplete Reiter’s
• PsA
• RA goes away..
• Myopathies
• “DILS”
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NODAL OSTEOARTHRITIS
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OSTEOARTHRITISHIP
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OSTEOARTHRITISDISH
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OSTEOARTHRITISOCHRONOSIS
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OSTEOARTHRITISHEMOCHROMATOSIS
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OSTEOARTHRITISNEUROPATHIC
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OSTEOARTHRITISAVN
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OSTEOARTHRITISAVN
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AMYLOIDOSISPRIMARY
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AMYLOIDOSISABDOMINAL / RECTAL BX
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REFLEX SYMPATHETIC DYSTROPHY
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REFLEX SYMPATHETIC DYSTROPHY
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REFLEX SYMPATHETIC DYSTROPHY
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OFFICE ORTHOPEDICS
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OFFICE ORTHOPEDICS
1. Shoulder
2. Elbow
3. Hip
4. Knee
5. Back
6. Hand
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ENDOCRINE ASSOCIATED ARTHROPATHIES
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HYPERPARATHYROIDISM
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DIABETIC ARTHROPATHY
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TUMOR ASSOCIATED ARTHROPATHIES
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TUMOR ASSOCIATED ARTHROPATHEIS
• DM / PM• HPO• Palmar fasciitis• Raynaud’s• Vasculitis• MDS• PMR• Sweet’s• Erythromelalgia
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Drug-Induced SLE
• Clinically the same except no renal or kidney disease
• Anti-histone antibody• No anti-Smith or anti-ds dna aby• Complements normal• Drugs: INH, procainamide, hydralazine• Treatment. Short course of NSAIDs or
steroids and DC offending drug
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LIVEDO RETICULARIS
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NEONATAL CUTANEOUS LUPUS
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Sjogren’s Syndrome
• Sicca complex– Keratoconjunctivitis (lacrimal gland)– Oral sicca (parotid)– Lymphocytic infiltrate (CD4)– SSA (Ro), SSB (La), RF, ANA, polyclonal
gammopathy– Woman age 30-50– Extraglandular
• ILD, PBC, vasculitis, neuropathy, arthritis, Raynaud’s, fever, fatigue, adenopathy/lymphoma, Hashimoto’s, myositis
– Primary vs secondary (RA)
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Cholesterol Emboli Syndrome
-blue toes after an intervention- TIA- ARF- microhematuria- fever- ischemic bowel- eosinophilia- ESR increased- heparinization may worsen by releasing clefts from plaques
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HYPERSENSITIVITY VASCULITIS / HSP
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CRYOGLOBULINEMIA
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CRYOGLOBULINEMIA
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CRYOGLOBULINEMIA
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ANCAC-ANCA (PR3)-Wegener’sP-ANCA (MPO)-CSS/MPA
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POLYARTERITIS NODOSA
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POLYARTERITIS NODOSA
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POLYARTERITIS NODOSA
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GIANT CELL ARTERITIS
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GIANT CELLARTERITIS
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MORPHEA & LINEAR SCLERODERMA
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SCLERODERMA ANTIBODIES
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SCLERODERMA LUNG
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SCLERODERMA KIDNEY
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EOSINOPHILIC FASCIITIS
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POLYMYOSITIS / DERMATOMYOSITIS