{"id":652,"date":"2020-05-12T22:27:50","date_gmt":"2020-05-13T05:27:50","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=652"},"modified":"2021-01-16T12:53:11","modified_gmt":"2021-01-16T20:53:11","slug":"rheumatology-3","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology-3\/","title":{"rendered":"Rheumatology Tutorial"},"content":{"rendered":"
[vc_row css=”.vc_custom_1592980857551{background-color: #fff9f9 !important;}”][vc_column][vc_column_text]\n

Systemic lupus erythematosus<\/span><\/h1>\n

Pericardial friction rub<\/strong><\/span><\/h2>\n

\"\"<\/a><\/span><\/h2>\n

Malar rash<\/strong><\/span><\/h2>\n

The malar rash is also known as the \u201cbutterfly rash,\u201d and is characterized by erythema that involves the cheeks and bridge of the nose, sparing the nasolabial folds. It is associated with systemic lupus erythematosus.<\/span><\/p>\n

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Rheumatoid arthritis<\/span><\/h1>\n

 <\/p>\n

Synovitis<\/strong><\/span><\/h2>\n

Rheumatoid arthritis causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination.<\/span><\/p>\n

 <\/p>\n

Rheumatoid nodules<\/strong><\/span><\/p>\n

Subcutaneous nodules are common in patients with rheumatoid arthritis, usually occurring over pressure points such as the elbows.<\/span><\/p>\n

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Ulnar deviation<\/strong><\/span><\/h2>\n

Rheumatoid arthritis causes characteristic deformities of the hand, including ulnar deviation hand and fingers.<\/span><\/p>\n

 <\/p>\n

Swan neck deformity\"\"<\/a><\/strong><\/span><\/h2>\n

The swan neck deformity is characterized by hyperextension of the PIP joint with flexion of the DIP joint.<\/span><\/p>\n

 <\/p>\n

Boutonni\u00e8re\u2019s deformity<\/strong><\/span><\/h2>\n

Boutonni\u00e8re\u2019s deformity is characterized by flexion of the PIP joint with hyperextension of the DIP joint.<\/span><\/p>\n

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Gout<\/span><\/h1>\n

 <\/p>\n

Synovitis\"\"<\/a><\/strong><\/span><\/h2>\n

Gout causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination.<\/span><\/p>\n

 <\/p>\n

Tophi\"\"<\/a><\/strong><\/span><\/h2>\n

Tophi are deposits of urate crystals in the joints and soft tissues. They are a manifestation of longstanding and poorly controlled gout. Patients with tophaceous gout can experience polyarticular attacks and symptoms between attacks. Tophi are typically painless but may become acutely inflamed.<\/span><\/p>\n

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Dermatomyositis<\/span><\/h1>\n

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Gottron\u2019s papules\"\"<\/a> <\/strong><\/span><\/h2>\n

Gottron\u2019s papules are violaceous and scaly papules over the dorsum of the metacarpophalangeal and interphalangeal joints.<\/span><\/p>\n

 <\/p>\n

Heliotrope rash\"\"<\/a> <\/strong><\/span><\/h2>\n

The heliotrope rash describes a lilac-colored change in the skin over the eyelids and around the eyes, sometimes with edema.<\/span><\/p>\n

 <\/p>\n

Shawl sign<\/strong><\/span><\/h2>\n

The shawl sign is an erythematous rash over the shoulders and upper arms.<\/span><\/p>\n

 <\/p>\n

V sign\"\"<\/a><\/strong><\/span><\/h2>\n

The V sign is an erythematous rash over the neck and chest.<\/span><\/p>\n

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Vasculitis<\/strong><\/span><\/h1>\n

 <\/p>\n

Large-vessel vasculitis<\/span><\/h2>\n

Enlarged temporal artery.\u00a0<\/strong>In patients with giant cell arteritis, the temporal artery may be tender, thickened, or nodular on examination.<\/span><\/p>\n

 <\/p>\n

Medium-vessel<\/span><\/h2>\n

Livedo reticularis- A lace-like rash characteristic of medium-vessel vasculitis and other conditions.<\/span><\/p>\n

 <\/p>\n

Small-vessel<\/span><\/h2>\n

Palpable purpura- Non-blanching erythema from bleeding into the skin. Can be nonpalpable, as in hematomas, or palpable, as seen in immune-complex disease such as vasculitis.<\/span><\/p>\n

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Sarcoidosis<\/span><\/span><\/h1>\n

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\"\"<\/a><\/span><\/h1>\n<\/div>\n
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Lofgren\u2019s syndrome<\/strong><\/span><\/h2>\n

L\u00f6fgren\u2019s syndrome is an acute form of sarcoidosis characterized by the triad of arthritis (most often involving both ankle joints) or periarthritis, erythema nodosum, and bilateral hilar lymphadenopathy.<\/span><\/p>\n

 <\/p>\n

Cutaneous manifestations.<\/span><\/h2>\n
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Adult-onset Still\u2019s disease<\/span>\"\"<\/a><\/strong><\/span><\/h1>\n

Evanescent rash<\/span><\/h2>\n

A transient, evanescent, salmon-colored macular or maculopapular skin rash.<\/span><\/p>\n

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Scleroderma<\/span><\/h1>\n

Sclerodactyly\"\"<\/a><\/strong><\/span><\/h2>\n

Skin thickening and hardening, giving the skin a shiny appearance and leading to curling of the fingers with loss of mobility.<\/span><\/p>\n

 <\/p>\n

Mouth tightening<\/strong><\/span><\/h2>\n

Patients with systemic sclerosis may develop skin tightening around the mouth, causing it to become smaller and narrower.<\/span><\/p>\n

 <\/p>\n

Nail capillary abnormalities<\/strong><\/span><\/h2>\n

Patients with systemic sclerosis may develop dilation and other abnormalities of the nail bed capillaries.<\/span><\/p>\n

 <\/p>\n

Salt and pepper skin changes<\/strong><\/span><\/h2>\n

Patients with systemic sclerosis may develop mixed hyper -and hypo-xfsynovitispigmentation of the skin, referred to as \u201csalt and pepper.\u201d<\/span><\/p>\n

 <\/p>\n

Cutaneous calcinosis<\/strong><\/span><\/h2>\n

Patients with systemic sclerosis may develop deposition of calcium in the skin and subcutaneous tissues.<\/span><\/p>\n

 <\/p>\n

Telangiectasias<\/strong><\/span><\/h2>\n

Visible dilated skin vessels.<\/span><\/p>\n

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Psoriasis<\/span><\/h1>\n

 <\/p>\n

Psoriatic arthritis<\/strong><\/span><\/h2>\n

 <\/p>\n

Synovitis<\/strong><\/span><\/h2>\n

Psoriasis causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination.<\/span><\/p>\n

 <\/p>\n

Onycholysis<\/strong><\/span><\/h2>\n

Painless detachment of the nail from the nail bed.<\/span><\/p>\n

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Nail pitting<\/strong><\/span><\/h2>\n

Visible depressions on the surface of the nail.<\/span><\/p>\n

 <\/p>\n

Oil drop sign<\/strong>\"\"<\/a>\u00a0<\/span><\/h2>\n

Areas of discoloration involving the nail bed.<\/span><\/p>\n

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Reactive arthritis<\/strong><\/span><\/h1>\n

 <\/p>\n

Synovitis<\/strong><\/span><\/h2>\n

Psoriasis causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination.<\/span><\/p>\n

 <\/p>\n

\"\"<\/a><\/span><\/p>\n<\/div>\n<\/div>\n

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Oral ulcers<\/span><\/h2>\n
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Behcet’s disease<\/span><\/h1>\n

Recurrent painful oral ulcers are often the earliest manifestation of Beh\u00e7et\u2019s disease (ultimately occurring in up to 90% of patients). Genital ulcers also affect most patients and are more specific than oral ulcers. Ocular disease involving the retina and uvea occurs commonly and can lead to blindness. Cutaneous manifestations are also common and include papulopustular rash, acne-like lesions, and erythema nodosum (especially in women).<\/span><\/p>\n

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Erythema ab igne<\/span><\/h1>\n

A skin condition related to prolonged exposure to heat (eg, hot packs applied to the skin), characterized by reticulated erythema, hyperpigmentation, scaling, and telangiectasias.<\/span><\/p>\n

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Poliosis<\/span><\/h1>\n

A patch of hair, whether involving the head, eyebrows, or eyelashes, in which there is a decreased amount or absence of melanin. It can be associated with rheumatologic conditions such as vitiligo and sarcoidosis.<\/span><\/p>\n

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Eosinophilic fasciitis<\/span><\/h1>\n

A condition in which fascial tissue becomes inflamed as a result of the accumulation of eosinophils, manifesting as swollen skin overlying the affected area.<\/span>[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row css=”.vc_custom_1592980857551{background-color: #fff9f9 !important;}”][vc_column][vc_column_text] Systemic lupus erythematosus Pericardial friction rub Malar rash The malar rash is also known as the \u201cbutterfly rash,\u201d and is characterized by erythema that involves the cheeks and bridge of the nose, sparing the nasolabial folds. It is associated with systemic lupus erythematosus.   Rheumatoid arthritis<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-652","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/652","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=652"}],"version-history":[{"count":1,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/652\/revisions"}],"predecessor-version":[{"id":10006,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/652\/revisions\/10006"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=652"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}