Basis of Inflammatory Arthritides

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Basis of Inflammatory Arthritides

Pathogenetic concept Consequences Autoimmunity Mucosal initiation Self-protein modifications Ag presentation by the SE Ab production Citrullination of self-proteins in the lung generates neoepitopes, which are presented by the shared epitope…

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Arthritis

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Arthritis

   Points Clinical   Pattern of joint or bursa involvement during past or present symptomatic episodes Ankle or midfoot without first MTP joint 1 First MTP joint involved 2 Number of…

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Lupus Erythematosus (SLE)

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Lupus Erythematosus (SLE)

American College of Rheumatology revised SLE classification criteria Systemic Lupus International Collaborating Clinics (SLICC) criteria Classification as SLE requires 4 out of 11 criteria Classification as SLE requires either 4…

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Diseases

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Diseases

Monogenic periodic fever syndromes  FMF (familial Mediterranean fever)  MKD (mevalonate kinase deficiency)  NLRP3-AID (NLRP3-associated autoinflammatory disease)  TRAPS (TNF receptor-associated periodic fever syndrome)  NLRP12-AID (NLRP12-associated autoinflammatory disease) NOD2-associated diseases  Blau syndrome…

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14. Osteoporosis

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on 14. Osteoporosis

Endocrine abnormalities Cushing’s syndrome, hyperthyroidism, hypogonadism hyperparathyroidism, hypercalciuria, hyperprolactinemia, Panhypopituitarism, diabetes, androgen insensitivity Hematological disorders Multiple myeloma, leukemia, lymphoma, systemic mastocytosis, hemophilia, thalassemia, monoclonal gammopathies Rheumatologic Rheumatoid arthritis, systemic lupus…

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Spondyloarthritis

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Spondyloarthritis

Axial SpA Peripheral SpA Back pain ≥3 months Age of onset <45 years Peripheral arthritis and/or enthesitis and/or dactylitis and either column below Sacroiliitis on imaging (Acute inflammation on MRI OR definite…

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Genetics in Rheumatology

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Genetics in Rheumatology

Classification Clinical features Gene/chromosome/OMIM Protein Inheritance Monogenic periodic fevers Familial Mediterranean fever (FMF) Recurrent febrile episodes with serositis and arthritis. Long-term development of AA amyloidosis in untreated patients. Good clinical…

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Rheumatology for Adult Rheumatologists

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Rheumatology for Adult Rheumatologists

!DOCTYPE html> © Springer Nature Switzerland AG 2020P. Efthimiou (ed.)Absolute Rheumatology Reviewhttps://doi.org/10.1007/978-3-030-23022-7_17 17. Pediatric Rheumatology for Adult Rheumatologists Natalie Rosenwasser1   and Karen Onel2   (1) University of Washington, Seattle, SA, USA (2) Hospital for Special Surgery,…

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12. Vasculitis

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on 12. Vasculitis

Fig. 12.1 Giant cell arteritis. The wall of this muscular artery is diffusely involved by granulomatous inflammation, including scattered multinucleated giant cells, with significant loss of the muscular media and…

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Sclerosis (Scleroderma)

Oct 24, 2020 by in RHEUMATOLOGY Comments Off on Sclerosis (Scleroderma)

Cell Pathogenic effects Fibroblasts Produce collagen and other extracellular matrix molecules Adipocytes, endothelial cells, epithelial cells Undergo transition to myofibroblasts expressing a smooth actin and producing collagen T cells Are…

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