Other rheumatological conditions

Question 1

What s Behcet’s syndrome?

Answer 1

Autoimmune mediated inflammation of arteries and veins.
Triad of symptoms are oral ulcers, genital ulcers and anterior uveitis

Question 2

Name some spondyloarthropathies

Answer 2

Ankolysing spondylitis,
Psoriatic arthritis
Reactive arthritis
Enteropathic arthritis (associted with IBD)
These are all seronegative meaning rheumatoid factor negative

Question 3

What is Dactylitis?

Answer 3

inflammation of the digits

Question 4

What is Marfan’s?

Answer 4

connective tissue disease with autosomal dominant inheritance. Caused by defect in the FBN1 gene.

Question 5

What are the features of marfans?

Answer 5

Tall stature, high arched palate, arachnoidactyly, pectus excavatum, pes planus, scoliosis, dilation of aortic sinus, mitral valve prolapse, pnumothoracies

Question 6

What is McArdle’s disease?

Answer 6

Autosomal receive disorder of glycogen storage. Results in muscle pain and stiffness following exercise, muscle cramps, myoglobinuria, low lactate levels

Question 7

What is Langerhans Cell Histiocytosis?

Answer 7

Rare condition associated with abnormal proliferation of histiocytes. Presents in childhood with bony lesions.
Features - bone pain, cutaneous nodules, recurrent otitis media/mastoidisitis, birbeck granules

Question 8

What is osteogenesis imperfecta?

Answer 8

Disorder of type 1 collagen metabolism resulting in bone fragility and fractures. Presents in childhood with fractures following minor trauma, blue sclera, deafness and dental imperfections

Question 9

Name the rotator cuff muscles

Answer 9

SItS - Supraspinatous (abducts arm before deltoid, most commonly injured), Infraspinatous (rotates arm laterally), teres minor (Adducts and rotates laterally) and subscapularis (adducts and rotates arm medially)