USMLE (Fach) / Bones, Joints, and Soft Tissue Tumors (Lektion)
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Seronegative Spondyloarthropathies
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Unified by:- Absence of rheumatoid factor- Association with HLA-B27 - Pathologic changes in the ligamentous attachments rather than synovium- Involvement of sacroiliac joints
Ankylosing Spondylitis- destruction of articular cartilage and bony ankylosis, especially of the sacroiliac joint
Reactive Arthritis- Triad of arthritis, non-gonococcal urethritis/cervicitis, and conjunctivitis- prior infection: urethritis (Chlamydia) or diarrhea (Shigella, Salmonella, Campylobacter, Yersinia)- asymmetric pattern- ankles, knees, feet
Psoriatic Arthritis- affects peripheral and axial joints and enthesis- distal interphalangeal joints (RA: proximal)- asymmetric- 'pencil in cup' deformity
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