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12 Cards in this Set
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- Back
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keratoderma blennarhagia
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reiters
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erthema nodosum
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IBD ass.
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what is seen in AS on examination?
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-decreased flexibility of lumbar spine in all 3 planes (shober's test)
-decreased chest expansion by <2.5 cm -extra-articular manifestation |
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what do lab results for AS show?
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1. raised ESR/CRP
2. RF negative 3. HLA B27 (>90%) 4. MRI shows early dz *x-ray isn't much use |
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how is AS managed?
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1. PT, hydrotherapy
2. NSAIDs 3. MTX (for peripheral dz) 4. anti TNF-alpha 5. intra-articular steroid 6. topical steroid for uveitis |
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what are the patterns of psoriatic arthritis?
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1. asymmetric joints
2. axial/sacroilitis 3. peripheral small joints, DIP 4. arthritis mutilans 5. dactylitis |
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how is PsA managed?
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1. NSAID
2. MTX 3. Sulfasalazine 4. anti-TNF alpha *careful of steroid tachyphylaxis |
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what can cause reative arthritis?
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1. GU infection (enteric)
2. salmonella 3. campylobacter 4. chlamydia 5. shigella *the joint aspirate has negative culture |
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what are the lab results from Reactive arthritis?
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1. ESR/CRP raised
2. RF negative, HLA B27 3. synovial fluid C and S (to exclude gout and sepsis) 4. ± STD screen 5. urinalysis may show pyuria |
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what is mgmt for ReA?
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1. intra-articular, systemic steroid
2. splinting, rest 3. NSAIDs 4. DMARDs if recurrent 5. treat active infection |
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what is type I IBD arthritis?
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associated with IBD flare, oligoarthritis and self-limiting
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what is type II IBD arthritis?
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polyarthritis, not associated with IBD flares, treat with MTX, sulfasalazine, anti-TNF
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