RHEUMATOLOGY SECTION INTERNAL MEDICNE BOARD REVIEW COURSE

ANATOMY REVIEW

SERONEGATIVE SPONDYLOARTHROPATHIES

SNSA’s

SNSA UNIFYING FEATURES sacroiliac joint involvement (axial disease) with inflammatory back pain peripheral joint involvement (non-axial disease) no RF extra-articular features: HLA-B27 enthesopathy dactylitis mucocutaneous disease conjunctivitis/uveitis cardiac disease (valvular / conduction)

SNSA’s

HLA-B27

ANKYLOSING SPONDYLITIS

AS / PULMONARY DISEASE

AS / CARDIAC DISEASE

SACROILIITIS

SPONDYLITIS

REITER’S / REACTIVE ARTHRITIS

PSORIATIC ARTHRITIS

IBD-Related Arthritis Peripheral (parallels IBD activity) Axial (does not parellel, more HLA B27+) Other extraintestinal features –Uveitis –Sclerosing Cholangitis –E. nodosum –Pyoderma gangrenosum

RHEUMATOID ARTHRITIS

RA - PANNUS

RA

RA & C-SPINE

FELTY’S SYNDROME

FS & LGL

RA EXTRAARTICULAR

RA - EYE

RA - PULMONARY

RA & RHEUMATOID NODULE

INFECTIOUS ARTHRITIS

DISSEMINATED GC

NONGONOCOCCAL BACTERIAL ARTHRITIS

NONGONOCOCCAL ARTHRITIS

INFECTIOUS BURSITIS

TUBERCULOUS ARTHRITIS

POTT’S DISEASE

PARVOVIRUS

LYME

LYME - ECM

ACUTE RHEUMATIC FEVER

ACUTE RHEUMATIC FEVER E. MARGINATUM

CRYSTALLINE ARTHRITIS

GOUT

CRYSTALLINE ARTHRITIS

CPPD

HADD HYDROXYAPATITE DEPOSITION DISEASE

CALCIUM OXALATE

FIBROMYALGIA

HIV-ASSOCIATED ARTHROPATHIES

HIV Incomplete Reiter’s PsA RA goes away.. Myopathies “DILS”

OSTEOARTHRITIS

NODAL OSTEOARTHRITIS

OSTEOARTHRITIS HIP

EROSIVE OA

OSTEOARTHRITIS DISH

OSTEOARTHRITIS OCHRONOSIS

OSTEOARTHRITIS HEMOCHROMATOSIS

OSTEOARTHRITIS NEUROPATHIC

OSTEOARTHRITIS AVN

AMYLOIDOSIS

AMYLOIDOSIS PRIMARY

AMYLOIDOSIS ABDOMINAL / RECTAL BX

SARCOIDOSIS

REFLEX SYMPATHETIC DYSTROPHY

OFFICE ORTHOPEDICS

1.Shoulder 2.Elbow 3.Hip 4.Knee 5.Back 6. Hand

ENDOCRINE ASSOCIATED ARTHROPATHIES

HYPERPARATHYROIDISM

HEMOCHROMATOSIS

DIABETIC ARTHROPATHY

TUMOR ASSOCIATED ARTHROPATHIES

TUMOR ASSOCIATED ARTHROPATHEIS DM / PM HPO Palmar fasciitis Raynaud’s Vasculitis MDS PMR Sweet’s Erythromelalgia

SLE

Drug-Induced SLE Clinically the same except no renal or kidney disease Anti-histone antibody No anti-Smith or anti-ds dna aby Complements normal Drugs: INH, procainamide, hydralazine Treatment. Short course of NSAIDs or steroids and DC offending drug

SLE

LIVEDO RETICULARIS

SLE

NEONATAL CUTANEOUS LUPUS

MCTD

Sjogren’s Syndrome Sicca complex –Keratoconjunctivitis (lacrimal gland) –Oral sicca (parotid) –Lymphocytic infiltrate (CD4) –SSA (Ro), SSB (La), RF, ANA, polyclonal gammopathy –Woman age –Extraglandular ILD, PBC, vasculitis, neuropathy, arthritis, Raynaud’s, fever, fatigue, adenopathy/lymphoma, Hashimoto’s, myositis –Primary vs secondary (RA)

VASCULITIS

Cholesterol Emboli Syndrome -blue toes after an intervention - TIA - ARF - microhematuria - fever - ischemic bowel - eosinophilia - ESR increased - heparinization may worsen by releasing clefts from plaques

HYPERSENSITIVITY VASCULITIS / HSP

CRYOGLOBULINEMIA

BEHCET’S

ANCA C-ANCA (PR3)-Wegener’s P-ANCA (MPO)-CSS/MPA

WEGENER’S

POLYARTERITIS NODOSA

KAWASAKI

GIANT CELL ARTERITIS

PMR

GIANT CELL ARTERITIS

TAKAYASU’S

SCLERODERMA

MORPHEA & LINEAR SCLERODERMA

CREST

PSS SKIN

SCLERODERMA GI

SCLERODERMA ANTIBODIES

SCLERODERMA LUNG

SCLERODERMA KIDNEY

EOSINOPHILIC FASCIITIS

POLYMYOSITIS / DERMATOMYOSITIS

PM /DM

DM

GOTTRON’S (DM)

IBM

PM /DM

DM