Seronegative Arthritides Flashcards Preview

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Flashcards in Seronegative Arthritides Deck (10):
1

Why is ankylosing spondylitis called the "A disease"?

Anterior Uveitis
Aortic Regurgitation
Apical fibrosis
Amyloidosis/ Ig A Nephropathy
Achilles tendinitis
Plantar Fasciitis

2

Is ankylosing spondylitis better or worse on exercise?

Ankylosing spondylitis is better during exercise

3

Which condition is sacroiliitis seen in?

Ankylosing spondylitis

4

Diagnosing Ankylosing Spondylitis?

1. Lower back pain for 3 months
Improved with exercise
Not relieved by rest
2. Limited lumbar motion – Schober’s test
3. Reduced chest expansion
4. Bilateral, Grade 2 to 4, sacroiliitis on X ray
5. Unilateral, Grade 3 to 4, sacroiliitis on X ray
Definite AS if Criterion 4 or 5, plus 1,2 or 3

5

Treatment for Ankylosing Spondylitis

Home exercises
Physiotherapy
Occupational therapy
NSAIDS
corticosteroids
Anti-TNF, infliximab, adalimumab

6

Clinical features of psoriatic arthritis

-Sacroilitis
-Nail involvement
-Enthesitis
-Extra articular (eyes)
-Dactylitis

7

X-ray deformity in psoriatic arthritis?

Pencil in cup

8

Treatment for Psoriatic arthritis

Medical:
NSAIDs
Corticosteroids/joint injections
Disease Modifying Drugs (MTX,SZP…)
Anti TNF – Etanercept (Enbrel)

Non medical:
Physiotherapy
Occupational Therapy
Orthotics, Chiropodist

9

Mucocutaneous lesions seen in reactive arthritis?

Keratodema Blenorrhagica
Circinate balanitis
Painless oral ulcers
Hyperkeratotic nails

10

How do you rule out infection in a suspected case of reactive arthritis?

Joint fluid analysis