Loading....
Coupon Accepted Successfully!

Medicine

Open Flashcards

Rheumatology

Question
12 out of 30
 

Type of anemia seen in Rheumatoid arthritis is: (AIPG 09)



A Microcytic hypochromic anaemia

B Macrocytic hypochromic anaemia

C Normocytic hypochromic anaemia

D Normocytic normochromic anaemia

Ans. D Normocytic normochromic anaemia

Extra articular manifestations –

1. Rheumatoid nodules – occur in 20 – 30% cases.

2. Rheumatoid vasculitis – Vasculitis can cause polyneuropathy, mononeuritis multiplex, digital gangrene, myocardial infarction.

3. Pleuropulmonary manifestations –

It include – Pleuritis, pleural effusion (More common on left side, low pleural fluid sugar), interstitial fibrosis, pleuropulmonary nodules, pneumonitis and arteritis.

Caplan’s syndrome – Pneumoconiosis + RA. + lung nodules.

Pericarditis – Usually asymptomatic. Chronic constrictive pericarditis may also occur.

Differential diagnosis of multiple pulmonary nodules

A. Caplan's syndrome B. Wegener's granulomatosis C. Silicosis

4. Neurological symptoms –

i. Peripheral neuropathy – due to vasculitis.

ii. Cord compression – due to atlanto axial subluxation

iii. Nerve entrapment – due to proliferative, synovitis (Carpal tunnel syndrome due to median nerve compression, tarsal tunnel syndrome due to anterior tibial nerve compression).

5. Eye – a. Episcleritis b. Scleritis c. Conjunctivitis d. Scleromalacia (Rupture of the Globe) can occurs.

(Extra Edge: Uveitis is not a feature)

6. Felty’s syndrome = RA + splenomegaly + neutropenia

Skin: vasculitis, in some cases skin may be involved extensively causing skin necrosis.

7. Skin: vasculitis, in some cases skin may be involved extensively causing skin necrosis. This is known as malignant rheumatoid arthritis.

8. Sjögren syndrome. RA is the most common cause of secondary Sjögren syndrome.

9. Blood: There is anemia of chronic disease. Anaemia in RA is normocytic normo chromic

10. Fever

Extra Edge: Renal involvement as such is not an important feature of RA.

It may be involved by drug therapy (Gold &penicillamine) or amyloidosis.

Complications of RA

1. Amyloidosis: It can present as nephrotic syndrome.

2. Septic arthritis (Usually by staph aureus)

Rheumatology Flashcard List

30 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)