Alla Ayten
@alla_ajten
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rheumatologist #psoriaticarthritis #spa , PhD fellow @kuleuven, @EMEUNET education WG #medicine
Joined November 2016
45y.o. man with purpura lesions after pharyngitis. What is the most likely diagnosis and how would you treat?
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Image Challenge | The New England Journal of Medicine Difficult to identify this worm 🤔This one I really didn’t figure out!
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How sensitive is MRI to detect inflammation? #MedTwitter #rheumatology 46yo male patient with HLA-B27+ SPA, compete ankylosis of spine and complete ankylosis of SIJ, still had IBP and CRP 20-23mg/L. STIR T2 MRI spine-no BMO. Spectacular improvement with TNFi!
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The patient has indeed what looks like a Jaccouds arrhropathy and if you look carefully chondrolysis of the wrists.BUT! She has high positive anti-CCP and ANF 1/320 with no specificity. Clinically, no other signs of SLE. Overlap?
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The itchy adherant scaly rash was quickly progressive and cultures for Staph aureus and Staph agalactiae were positive. There was spectacular improvement with Staphicid. It was an infection!
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@Drpvc Correct, paradoxal pso is a part od differential,usually not itchy, did not improve with topical GCs
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#rheumtwitter
#MedTwitter 👉rare causes of inflammatory hand pain 25yo male pain right wrist, sensitive complaints in n.ulnaris area, no arthritis. ANF, RF, anti-CCP neg. 👉Vascular malformation-aneurysm of a.ulnaris
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#ACR22 treatment of patients with connective tissue disease-ILD with rituximab or cyclophosphomide: similar results but less toxicity of rituximab
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