Category Archives: Rheumatology

Axial spondyloarthritis

The spondyloarthritides are a group of inflammatory conditions which can affect axial or peripheral joints. Axial spondyloarthritis Radiographic axial spondyloarthritis* Non-radiographic axial spondyloarthritis** *This is the entity that used to be known as ankylosing spondyloarthritis. However, the criteria for diagnosing … Continue reading

Posted in Back pain, Musculoskeletal, Rheumatology | 1 Comment

Rheumatoid arthritis

Quick update on a couple of relevant NICE guidance points, from the BMJ: Refer any adult with persistent suspected synovitis of unknown cause. The referral should be urgent if: small joints of hands or feet are affected >1 joint is … Continue reading

Posted in Credits 2018, Rheumatoid arthritis, Rheumatology | Leave a comment

Vitamin D deficiency

So, I’d just been thinking (having recently dealt with a few people with Vitamin D deficiency) that it was about time I went through the guidelines properly and brushed up on/updated my knowledge, and then lo and behold this BMJ … Continue reading

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This is a summary of NICE guidance as per BMJ article. The spondyloarthritides are a group of inflammatory conditions with some extra-articulate manifestations. They may be peripheral or axial and are often missed. Axial spondyloarthritis Note that this affects similar … Continue reading

Posted in BMJ, Credits 2017, Rheumatology | Leave a comment

Long-term treatment of gout

I’ve been taught that urate-lowering therapy is for patients who’ve had recurrent attacks of gout to the point of being troublesome (a specific guideline advised in this article is two or more attacks over 12 months), but apparently there’s also … Continue reading

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Vitamin D deficiency

From the National Osteoporosis Society guidelines and the BNF: Ergocalciferol = Vitamin D2 – plant-derived. Hard to get hold of as a single preparation, but comes in strengths of 10 000 IU (250 mcg) or 50 000 IU (1.25 mg) Colecalciferol … Continue reading

Posted in Credits 2014, Endocrinology, Rheumatology | Leave a comment


Allopurinol should be started at a dose of 100 mg od and titrated upwards in 100 mg increments on a monthly basis, with the aim of getting the urate <0.36 – some experts say to aim for <0.3 for the … Continue reading

Posted in Credits 2013, Gout, Rheumatology | Leave a comment

ASAS criteria for inflammatory back pain

Present for >3 months, plus at least 4 of the following: Onset <40 years of age Insidious onset Improves with exercise No improvement with rest Night pain which improves on getting up Types of inflammatory back pain are: Anklylosing spondylitis … Continue reading

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Random paediatric points

A selection of fairly random points from the Pulse on-line learning module in child health: A fever over 38 degrees in a baby less than 3 months or over 39 degrees in a 3 – 6-month-old is a red flag … Continue reading

Posted in Dermatology, Paediatrics, Rheumatology | Leave a comment

Temporal arteritis

Bear in mind that approximately a quarter of patients present without headache. Just to make life even more complicated, they seem to be more likely to develop visual loss. Non-headache presenting symptoms include: Jaw claudication Visual loss (yup, it can … Continue reading

Posted in BJGP, Credits 2012, Rheumatology | Leave a comment