Term
| White patient age 70 with pain and stiffness in symmetric distribution in shoulder, neck, and pelvic girdle for more than four weeks. |
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Definition
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Term
| How do you diagnose polymyalgia rheumatica |
|
Definition
eleveated ESR and CRP
Dramatic response to low dose prednisone |
|
|
Term
| What complication do you have to worry about with polymyalgia rheumatica? |
|
Definition
| temporal arteritis (giant cell arteritis) -> vision loss, jaw claudication |
|
|
Term
| Is rheumatoid factor associated with Juvenile Idiopathic Arthritis? |
|
Definition
| Yes, 2-10% are positive for rheumatoid factor, and this gives a worse prognosis |
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Term
Female teenage patient with symmetric small joint inflammation -
what is it?
what are associated lab findings?
what is the prognosis? |
|
Definition
polyarticular juvenile idiopathic arthritis (analogous to adult RA)
increased HLA-DR4+
if RF negative, <50% continues in adulthood; if RF positive, rare remission |
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