Category Archives: Rheumatology

Temporal arteritis

Some notes: Not everyone gets headache. 4% of sufferers have a normal ESR. Biopsy can show false negatives. Constitutional symptoms (fever, sweats, weight loss/anorexia, fatigue) are common; but do consider other causes (infection, malignancy). Visual symptoms can affect part of … Continue reading

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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

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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

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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 guidelinesĀ 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