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Polymyalgia Rheumatica and Giant Cell Arteritis
Polymyalgia rheumatica and giant cell arteritis probably represent a spectrum of one disease. Both affect the same population (patients > age of 50), and the
Livedo Reticularis and Livedo Racemosa
Livedo reticularis produces a mottled, purplish discoloration of the skin with reticulated cyanotic areas surrounding paler central cores (Figure 1–7ck). This distinctive “fishnet” pattern is
IgG4-Related Disease
IgG4-related disease is a systemic disorder of unknown cause marked by highly characteristic fibroinflammation that contains IgG4 plasma cells and can infiltrate virtually any organ.
Sjögren Syndrome
Sjögren syndrome is a systemic autoimmune disorder whose clinical presentation is usually dominated by dryness of the eyes and mouth due to immune-mediated dysfunction of
Mixed Connective Tissue Disease, Overlap, and Undifferentiated Syndromes
Many patients with symptoms and signs of a connective tissue disease have features of more than one type of rheumatic disease. Special attention has been
Immune-Mediated Inflammatory Myopathies
Immune-mediated inflammatory myopathies include polymyositis, dermatomyositis, myositis resulting from a rheumatic disease or overlap syndrome, inclusion body myositis (IBM), and immune-mediated necrotizing myopathy. These disorders
Systemic Sclerosis (Scleroderma)
Systemic sclerosis (scleroderma) is a rare chronic disorder characterized by diffuse fibrosis of the skin and internal organs. Symptoms usually appear in the third to
Raynaud Phenomenon
Raynaud phenomenon (RP) is a syndrome of paroxysmal digital ischemia, most commonly caused by an exaggerated response of digital arterioles to cold or emotional stress.
Antiphospholipid Syndrome
The clinical features of primary antiphospholipid syndrome (APS) are venous or arterial occlusions or certain pregnancy complications. Laboratory criteria include the identification of at least
Drug-Induced Lupus
Drug-induced lupus shares several clinical and serologic features with SLE but is due to ongoing exposure to a drug and resolves when the offending drug
Systemic Lupus Erythematosus
SLE is an inflammatory autoimmune disorder characterized by autoantibodies to nuclear antigens. It can affect multiple organ systems. Many of its clinical manifestations are secondary
Adult Still Disease
Still disease is a systemic form of juvenile chronic arthritis in which high spiking fevers are much more prominent, especially at the outset, than arthritis.