Rheumatology Tip of the Day

Mar 07, 2013



   
Rheumatology Tip of the Day

 

Raynaud's phenomenon is usually absent from eosinophilic fasciitis, which may be difficult to differentiate from scleroderma. Nearly all scleroderma patients have Raynaud's, usually early on . . . .

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Rheumatology Tip of the Day

 


  • Clues to spinal epidural abscess as a cause of back pain (a potentially disabling condition and thus a diagnostic "great save"):

    1. Usually insidious onset
    2. Usually thoracic (most back pain is cervical or lumbar)
    3. Major red flag: fever (though often absent, especially early in the course) . . .

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Rheumatology Tip of the Day

 

Use ACE inhibitors with great care in systemic sclerosis. ACE inhibitors given before the onset of scleroderma renal crisis worsen later outcomes. . . .

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Rheumatology Tip of the Day

 

As many as 40% of sarcoidosis patients show an acute, self-limiting polyarthritis, but chronic arthritis and muscular symptoms are very rare. . . .

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Rheumatology Tip of the Day

 

Knee osteoarthritis does not always progress. Data from the Osteoarthritis Initiative shows that half of people with knee OA reported less knee pain at 48 months than at 12 months. . . .

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Rheumatology Tip of the Day

 

In the rare fibrosing disorder eosinophilic fasciitis, the hands and feet are usually spared. In scleroderma, the hands are nearly always involved. . . .

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Rheumatology Tip of the Day

 

Joint erosions progress significantly faster in the anemic rheumatoid arthritis patients than in RA patients who do not have anemia. . . .

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Rheumatology Tip of the Day

 

When assessing function in RA, four factors help determine whether a patient is having difficulty with a task:

1. speed and smoothness of movement;
2. the number of attempts required for completion;
3. substituting an alternate motion for one that is difficult; and
4. the presence of pain behaviors . . .

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Rheumatology Tip of the Day

 

To encourage adequate exercise among your patients, include a question about physical activity at the top of the chart, alongside blood pressure, heart rate, and other vital signs. . . .

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Rheumatology Tip of the Day

 

Obese patients scheduled for elective knee replacement have significantly elevated serum levels of IL-6, suggesting that their adipose cells induce a hyper-inflammatory state . . .

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Rheumatology Tip of the Day

Psoriasis patients are at increased risk of cancer, especially when (1) the disease is severe and had an early age of onset and (2) comorbid conditions exist, such as smoking or diabetes. . . .

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Rheumatology Tip of the Day

Among knee replacements for children with JIA, 75% last for 20 years, a multicenter study shows. Almost half of recipients have unlimited walking ability. . . .

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