Can you name the MDTI - ALL OF RHEUMATOLOGY?

created by arunegulati
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PromptsDiseases
fibroblasts upregulate PDGFr in response to TGFb
cells express Bax, lymphocytes express BCLxl
ectopic lymphoid follicles in salivary glands
40% twin concordance
75% of people get this
interferon signature connects viral infection to lymphocyte invasion
Interferon Signature (2)
treat with physical therapy, braces, NSAIDs
NALP3
Anti-centromere antibodies seen in limited version
polymorphisms in HLA DR2/DR3
Cytokines: IL-6, IL-17, IFN-alpha
lack of DHEA
CXCL 13 - B-cells
Defect in Complement Receptor 1, FCyR
2000-100,000 white cells in joint fluid
Pathway: Nalp3 -> IL-1b -> NfkB -> attracting of neutrophils
renal hypertension due to medium vessel closure
cytokines: TGFb, CTGF, PDGF(r)
Cytokines Involved: IL-1, IL-6, IL-17, TNFalpha, with TNF-alpha being the boss
Can be caused by increase in enzyme APRT
two causal reasons: highly vascularized synovium, no basement membrane
6% concordance among MZ twins
fibrinoid kidney necrosis causes hypertension
Allopurinol
Probenecid
Mainly affects DIP, Knee, and 1st MCP joints
Can be caused by increase in enzyme XO
IFN signal induced by DNA/RNA containing complexes
4:1 female to male ratio
20-200 white cells in joint fluid
cells inappropriately express both MHC1 and 2
fibroblasts turn to myofibroblasts
associated with previous damage (RA, OA), diabetes mellitus, immunosuppression
treat acute flair up with NSAIDs, colchicine, corticosteroids
Anti-SCl-70 (Topoisomerase 1)
Belimumab (1)
cholinesterase
karryohexis
Pyrazinamide, Nicotinate, Lactate all stimulate URAT1
PromptsDiseases
lymphepithelial lesion
Raynaud's Phenomenon precedes it
Uric Acid Kidney Stones
CREST
Tophi in olecranon bursa
polymorphisms in C2/C4 genes
Vascular injury may be initiating factor
Genetic defect in COL1A2, TGFb, Fibrillin 1
subchondral sclerosis
IFN-g/TNFa both inhibit SMAD activity
200-2000 white cells in joint fluid
environmental influence of vinyl plastics, hair dyes
ANA test involves permeabilizing cells
Vital Dye test
Heberden's Node
Occurrence linked to ingestion of purine/pyrimidines, endogenous production of urate, and breakdown of tissues
Cytokines Involved: IL-1, IL-6, IL-17, TNFalpha
Belimumab (2)
Interferon Signature (1)
Can be caused by increase in enzyme PRPP
transmural inflammation
Can be caused by deficiency of HGPRT
Schirmer's test
IFNalpha upregulates TLR7/IRF7 to help uptake of DNA/RNA containing complexes
TGFb/CTGF sensitize fibroblasts and increases collagen production
Oxypurinol
Bouchard's Node
HLA DQ7/DR5 associated
cartilage fragments mediate inflammation
Type I/III collagen production
malar rash
CXCL 12 - T-cells
msu crystals
sialadenitis
antibiotic resistant arthritis possibly due to mimcry between OspA and LFA
A20 mutation leads to too much NfKb
Characterized by immune dysregulation/vascular dysfunction/fibrosis
early, early disseminated, late disseminated spread
monoarthritic arthritis, usually 1st MTP/Knee/Ankle
Possible mimicry between retroviruses and anti-SCL70
PromptsDiseases
cppd
anti-ANA are first important sign
BAFF
discoid rash
anti-ssa/ssb (not lupus)
hypertrophy of chondrocytes, but decrease in collagen production
estrogen and prolactin cause activation/proliferation of lymphocytes
problems in the WNT pathway
Comes in both diffuse/limited versions
Alcohol increases conversion of ATP to AMP; produces lactate that acts on URAT1
TGFb downregulated metalloproteinase release
30% associated with HepB infection
osteophytes
>50,000 cells, >95% PMN's
fibrillations
URAT1
Sex hormones/chromosomes are important
Fibrosis leading to ischemia and organ damage
Defect in clearance of apoptosis
Febuxostat
3 stages, last one develops B cell Lymphoma
environmental triggers are UV exposure/DNA or RNA viruses/Medication
TGFb/SMAD signaling
Inflammasomes
Blys
sicca
cast nephritis
anti-M3
cytoplasmic and perinuclear antibodies
increase vascularization of cartilage which allows cytokine spread
spares lung/kidneys
90% male, correlated with obesity and alcohol use
African Americans have particularly high anti-SCL70, bad prognosis
Acute Uric Acid nephropathy (especially in cancer patients with chemo drugs)
slow progression over time
crescentic glomerulonephritis
HLADRB1 association
Anti-Smith, Anti-dsDNA, Anti-SSB
focus
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MDTI - ALL OF RHEUMATOLOGY Quiz

  1. by arunegulati

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