Rheum

Question 1

Management of patients at risk of corticosteroid-induced osteoporosis?

Answer 1

The RCP guidelines essentially divide patients into two groups.

1. Patients over the age of 65 years or those who’ve previously had a fragility fracture should be offered bone protection.
2. Patients under the age of 65 years should be offered a bone density scan, with further management dependent;
   > 0 reassure
   0 to -1.5: repeat in 1-3 years
   <-1.5 : offer protection

Question 2

Ankolysing Spondylitis other features

Answer 2

Apical fibrosis
Anterior uveitis
Aortic regurgitation
Achilles tendonitis
AV node block
Amyloidosis
and cauda equina syndrome
peripheral arthritis (25%, more common if female)