Flashcards in Other Inflammatory Joint Diseases Deck (60)
Jaccoud's arthropathy follows what previous condition?
What are the clinical presentations of Jaccoud's arthropathy?
Non-erosive, reversible joint deformity with ulnar and fibular deviations
What GI issue is seen with Scleroderma patients due to a dilated esophagus?
Dysphagia and heartburn (90%)
What lung issue is seen in 100% of Scleroderma patients?
Fibrosis (only 25% will have symptoms)
What features make up the CREST syndrome seen with Scleroderma?
What population is likely to develop scleroderma?
Females ages 30-50
What lab results are associated with scleroderma?
Elevated ESR, +ANA, RF
What conditions are known as the Rheumatoid types (seropositive)?
RA, SLE, scleroderma, Jaccouds
Which conditions are known as the Rheumatoid variants (seronegative)?
AS, Reiter's, psoriatic, enteropathic
What are the radiographic features associated with scleroderma?
1 distal tapering of soft tissues
2 subcutaneous soft tissue calcification
3 flexion contractures
What is the term for the terminal turf bony erosions associated with scleroderma and various other disease or possibly burns?
Instead of being positive for RF, what are the seronegative conditions positive for?
Which conditions are HLA-B27+?
AS, psoriatic, reactive, and enteropathic
Ankylosing spondylitis primarily involves what general area of the skeleton?
Axial (SI and spine)
What is another name for AS?
Marie Strumpell's Disease or Rhizomelic spondylitis
50% of AS patients will have what disease especially of the hips and shoulders?
What is the most common seronegative condition?
What is the gender bias for AS?
What is the #1 area for AS to target?
SI joints (bilateral symmetric involvement)
If a calcaneal spur is seen upon X-ray, what is the first condition that should be suspected? Second?
#1 = DJD
#2 = AS
Which arthropathies are uniquely more common in men?
Reactive and AS
What is the usual age range for AS?
What are the lab results for AS?
HLA-B27+, +ESR (-RF and -ANA)
What are the common joint changes seen with AS?
Loss of subchondral definition, erosions and joint widening, fusion (50%)
What area of the SI joint specifically is targeted by AS?
Lower 2/3 due to synovial nature
What is the condition involving bilateral symmetric triangular sclerosis on X-ray near the bottom of the SI joints but only on the iliac side?
Osteitis Condensans Ilii
What causes the sclerosis seen with osteitis condensans ilii?
Mechanical stress across the SI joint
What population is more likely to have osteitis condensans ilii?
What is unique about the patient presentation of osteitis condensans ilii?
No SI problems or symptoms!