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Scleroderma, and inflammatory myopathies
Test 1 Sem. 2
16
Medical
Graduate
01/19/2011

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Cards

Term
What is scleroderma characterized by?
Definition
deposition of fibrous connective tissue
Term
What does CREST syndrome stand for?
Definition
C-Calcinosis
R-Raynauds
E-Esophogeal involvement
S-Sclerodactly
T-Telangiectasias
Term
What is the best predictor of patients with Raynaud phenomenon developing scleroderma?
Definition
abnormal nail-fold capillary pattern and positive ANA
Term
progressive fibrosis, vascular abnormalities, and inflammation are common features of what?
Definition
scleroderma
Term
What are the first signs of scleroderma in the hands?
Definition
swelling and thickening of the fingers and hands
Term
What GI complication is present in 90% of Scleroderma patients?
Definition
Esophageal hypomotility (GERD)
Term
What is the most common cause of death in scleroderma?
Definition
Lung disease
Term
What are the most common pulmonary findings in Scleroderma?
Definition
1) pulmonary vascular disease
2) interstitial inflammation and fibrosis
Term
What kidney problems are common with scleroderma?
Definition
chronic proteinuria and malignant hypertension
Term
What lab test is positive in 85% of scleroderma cases?
Definition
ANA
Term
What do you use to treat renal complications with scleroderma?
Definition
ACE inhibitors
Term
dermatomyositis is characterized by what?
Definition
symmetrical proximal muscle weakness in all extremities, accompanied by a skin rash
Term
Myositis is most common with what other rheumatic disease?
Definition
scleroderma
Term
What is the most common pulmonary problem of inflammatory myopathies?
Definition
pneumonia from aspiration
Term
What autoantibodies are found in approximately 90% of inflammatory myopathy cases?
Definition
autoantibodies to nuclear and cytoplasmic antigens
Term
What is the mainstay drug therapy for inflammatory myopathies?
Definition
glucocorticoids (prednisone)
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