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Flashcards in Other Inflammatory Joint Diseases Deck (60)
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1

Jaccoud's arthropathy follows what previous condition?

Rheumatic fever

2

What are the clinical presentations of Jaccoud's arthropathy?

Non-erosive, reversible joint deformity with ulnar and fibular deviations

3

What GI issue is seen with Scleroderma patients due to a dilated esophagus?

Dysphagia and heartburn (90%)

4

What lung issue is seen in 100% of Scleroderma patients?

Fibrosis (only 25% will have symptoms)

5

What features make up the CREST syndrome seen with Scleroderma?

Calcinoshs
Raynaud's phenomenon
Esophageal dysmotility
Sclerodactyly
Telangiectasia

6

What population is likely to develop scleroderma?

Females ages 30-50

7

What lab results are associated with scleroderma?

Elevated ESR, +ANA, RF

8

What conditions are known as the Rheumatoid types (seropositive)?

RA, SLE, scleroderma, Jaccouds

9

Which conditions are known as the Rheumatoid variants (seronegative)?

AS, Reiter's, psoriatic, enteropathic

10

What are the radiographic features associated with scleroderma?

1 distal tapering of soft tissues
2 subcutaneous soft tissue calcification
3 flexion contractures

11

What is the term for the terminal turf bony erosions associated with scleroderma and various other disease or possibly burns?

Acro-osteolysis

12

Instead of being positive for RF, what are the seronegative conditions positive for?

HLA-B27

13

Which conditions are HLA-B27+?

AS, psoriatic, reactive, and enteropathic

14

Ankylosing spondylitis primarily involves what general area of the skeleton?

Axial (SI and spine)

15

What is another name for AS?

Marie Strumpell's Disease or Rhizomelic spondylitis

16

50% of AS patients will have what disease especially of the hips and shoulders?

Peripheral disease

17

What is the most common seronegative condition?

AS

18

What is the gender bias for AS?

Males

19

What is the #1 area for AS to target?

SI joints (bilateral symmetric involvement)

20

If a calcaneal spur is seen upon X-ray, what is the first condition that should be suspected? Second?

#1 = DJD
#2 = AS

21

Which arthropathies are uniquely more common in men?

Reactive and AS

22

What is the usual age range for AS?

15-35

23

What are the lab results for AS?

HLA-B27+, +ESR (-RF and -ANA)

24

What are the common joint changes seen with AS?

Loss of subchondral definition, erosions and joint widening, fusion (50%)

25

What area of the SI joint specifically is targeted by AS?

Lower 2/3 due to synovial nature

26

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

27

What causes the sclerosis seen with osteitis condensans ilii?

Mechanical stress across the SI joint

28

What population is more likely to have osteitis condensans ilii?

Multiparous females

29

What is unique about the patient presentation of osteitis condensans ilii?

No SI problems or symptoms!

30

Which sign of AS appears on X-ray as reactive sclerosis?

Shiny corner sign