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Flashcards in Rheuma Deck (20):
1

Scarlatiniform rash

Kawasaki

2

Fever for at least 5 days plus 4 of the ff:
CRASH

Conjunctivitis- no exudate
Rash- scarlatiniform
Adenopathy >1.5cm
Strawberry tongue
Hand changes- brawny induration, peeling

Kawasaki

3

Which phase of Kawasaki diseases poses the highest risk of sudden death

Subacute

4

Treatment for Kawasaki in the acute stage

IV Ig
Aspirin

5

IVIG resistant kawasaki disease has increased risk for

Coronary artery aneurysm

6

Most common pediatric inflammatory myopathy

Dermatomyositis

7

Seen in dermatomyositis

Alligator like skin appearance
Skin over metacarpal and proximal IPJ hypertrophic and reddish pink

Gottron papules

8

Seen in dermatomyositis

Periorbital violaceous erythema that may cross over the bridge of the nose

Heliotrope rash

9

Severe prognostic sign of dermatomyositis

Dysphagia

10

Most commonly elevated diagnostic test on initial presentation

ALT

11

Treatment for dermatomyositis

Methylprednisolone
Methotrexate
Folic acid

12

Deposition of IgA and immune complex is the pathophysiology behind what disease

Henoch schonlein purpura

13

What vessels are most commonly involved in HSP

Small arteries

14

Treatment for HSP

Supportive

15

Most common cause of non thrombocytopenic purpura in children

Henoch schonlein purpura

16

HSP criteria
Palpable purpura
Onset less than 20 year old
Bowel angina

How many criteria should be met?

2/3

17

Criteria for diagnosis of SLE

SOAP BRAIN MD

Serositis (pleuritis, pericarditis)
Oral ulcer
Arthritis (2 or more joints)
Photosensitivity
Blood changes (anemia, leukopenia, plt)
Renal
ANA abnormal
Immunologic (anti-DNA, anti-Sm)
Neurologic signs
Malar rash
Discoid rash

18

How many of the criteria should be met for the diagnosis of
SLE?

4/11

19

More specific antibody for lupus and reflects the degree of disease activity

Anti double stranded DNA

20

Antibody specific only for SLE

Anti smith