Rheumatology In Questions

Immunology and Rheumatology in Questions, 2nd Edition addresses through short and concise questions-and-answers (Q&As) on one hand all major aspects of basic clinical and laboratory immunology necessary for understanding underlying immunological mechanisms of autoimmune rheumatic diseases. The majority however of Q&As in this book presents in a laconic way definitions, pathogenetic aspects, clinical and laboratory manifestations, differential diagnosis and the management of all categories of rheumatic diseases including systemic autoimmune, autoinflammatory, metabolic and degenerative. Furthermore, in separate sections of this manual Q&As addressing rheumatic manifestations from other organ systems are included. Finally, a chapter is devoted to treatment of rheumatic diseases analyzing indications and side-effects of different therapeutic modalities with illustrations and diagrams utilized throughout the book to present the information in a clear and schematic way. In this fully revised second edition, more than 120 new Q&As have been added and the answers to more than 90 Q&As has been modified after having critically incorporated all new knowledge generated in the past three years in the field of rheumatology, in an effort to bridge classical and current evidence-based knowledge and to present didactic and credible information. This book is valuable to test and acquire knowledge not only for rheumatologists but for every specialist in internal medicine, family practice, physical/rehabilitation medicine and orthopedic surgery.

This book covers all fields in rheumatology and aims to help readers comprehend, familiarize and evaluate their knowledge of the subject area. It contains short questions and concise answers on definitions, pathogenetic aspects, clinical and laboratory manifestations, differential diagnosis and the management of all rheumatic diseases. The book also provides questions and answers on major aspects of basic immunology, valuable for understanding underlying immunological mechanisms of autoimmune rheumatic diseases. Illustrations and images help present information in a clear and schematic way.

This book is for postgraduate fellows, internists, and students interested in rheu- tology. It contains real cases and is designed to stimulate thought and further reading in this rapidly evolving specialty. I have included a series of common and uncommon cases that I have seen over the past decade in a busy consultative practice and have inserted up-to-date ref- ences and questions you may be asked on ward rounds or in clinic. My hope is that it will be a useful adjunct for physicians preparing for examinations or entering the field and will stimulate further interest. I would like to acknowledge my mentors Pierre Bouloux, MD, Tom Cooney, MD and thank Atul Deodhar, MD for his careful review of the manuscript. This book is dedicated to my parents and wife Batool who have made many sacrifices for which I remain eternally grateful. Brooklyn, NY Yousaf Ali v Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Self Assessment Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 vii Question 1 A 56-year-old female presents with arthralgias and fatigue. Lab work is unrema- able apart from normocytic anemia and Howell Jolly bodies on peripheral smear. Her examination reveals a blistering rash on the elbows.

Rheumatoid arthritis is an inflammatory autoimmune disease, which may result in severe disabilities and deformities if not diagnosed early and managed with adequate dose of DMARDs. The early diagnosis is often impaired by initial atypical presentations and its close mimic to other autoimmune rheumatic diseases. From the point of diagnosis to treatment of the disease, the practicing rheumatologist confronts various challenges. With an intention to address such challenges and to develop a quick reference guide for all clinicians, author started publishing the question and answer series on rheumatoid arthritis since 2012. The answers provided are substantiated by well-accepted guidelines, literature evidence and clinical experience. These answers can assist decision making in diverse clinical circumstances. Author has made a sincere attempt to make the complied volume more scenario-oriented.

This practical study guide illustrates a variety of different scenarios of rheumatic disease in succinct question and answer format. It contains 120 complex cases with potentially unusual diagnoses designed to stimulate thought and further reading in this rapidly evolving specialty. The questions demonstrate both common and uncommon rheumatologic conditions that may be encountered on ward rounds or in clinic by using radiographs, pictures, and skin findings. Each case is based on a real-life diagnostic situation encountered by the author from his two decades of experience working in a busy consultative practice.Self Assessment in Rheumatology: An Essential Q & A Study Guide, Second Edition is an essential resource for students, postgraduate fellows, internists, and practicing physicians eager to learn more about rheumatology, test their fund of knowledge, or prepare for board examinations.

Companion volume to: Mayo Clinic internal medicine board review. 10th ed. c2013.

The field encompassed by rheumatology has evolved rapidly over the last decade to include multiple immune-modulating and biologic medications, new classification criteria, significant updates on bone metabolism, and completely new paradigms of treatment based on groundbreaking studies published within the last 5 years. Although much has been adopted as standard of care based on new data, most textbooks do not reflect these practice changes. Rheumatology Board Review highlights the latest advances in the field and new standards of care, including references to current citations in the medical literature. It provides international standards and guidelines and is designed to convey a maximum amount of information quickly and efficiently, with many helpful schematics, radiographs, and tables. Rheumatology Board Review offers chapter coverage of: • Non-inflammatory joint and soft tissue disorders • Selected topics in rheumatoid arthritis • Selected topics in systemic lupus erythematosus • Antiphospholipid antibody syndrome • IgG4-related disease • Myopathies • Selected topics in pediatric rheumatology • HIV and rheumatic diseases • Miscellaneous arthropathies • Osteoporosis • Review of musculoskeletal radiology • Study design, measurement, and basic statistical analysis • Update on vasculitis Rheumatology Board Review is a must-have reference for rheumatology fellows and professionals seeking a concise yet thorough review of state-of-the-art rheumatology.