LESSON 2: PART 3 - REITERS DISEASE, PSORIATIC ARTHRITIS

Keratoderma blennorhagica

papulo squamous skin rash that appears most on sole and palms

Circinate balanitis

painless ulceration of the glans penis appears most, shallow ulcer in uncircumcised, circumcised: rash dry, plaque like hyperkeratotic resembles.

• KERATODERMA BLENNORHAGICA

• CIRCINATE BALANITIS

DERMATOLOGIC SYMPTOMS: REITERS DISEASE

Psoariatic Arthritis

An arthropathy associated with combined features of both RA and seronegatives spondyloarthropathies

LOM

Psoariatic Arthritis main problem

CAUCASIANS

EPIDEMIOLOGY: PSORIATIC ARTHRITIS

• Asymmetric oligoarthritis or monoarthritis

• Dactylitis

• Symmetric polyarthritis

• Arthritis mutilans

• pencil in a cup deformity

• Auspitz sign

• Koebner phenomenon

CLINICAL MANIFESTATION: PSORIATIC ARTHRITIS

Dactylitis

sausage digits

Arthritis mutilans

due to osteolysis of the phalanges of the MCP of the hand

pencil in a cup deformity

is a rare bone and joint condition usually associated with a severe form of arthritis called arthritis mutilans.

Auspitz sign

It typically occurs after scratching psoriasis plaques or other forms of skin scales.

Auspitz sign

refers to pinpoint bleeding under the skin's surface.

Koebner phenomenon

the appearance of new skin lesions on previously unaffected skin secondary to trauma.

Crohn’ disease

chronic affectation of any part of the GI tract to mouth up to the anus with skip lesions

• Crohn’ disease

• Ulcerative colitis

• Behcet’s disease

• Whipples disease

Inflammatory Bowel disease

Ulcerative colitis

chronic affectation of the ileum down to the anus

• ABDOMINAL PAIN

• VOMITING

• ARTHRITIS

CLINICAL MANIFESTATION: ULCERATIVE COLITIS

• ORAL ULCER

• UVEITIS

• SCROTAL ULCER

CLINICAL MANIFESTATION: BEHCETS DISEASE

• Wasting

• Hyperpigmentation

• Intestinal pain

• Pleurisy

• Pneumonitis

• Lympadenopathy

• Encephalopathy

• Steatorrhea

• Diarrhea

• Skin rash

• Eye inflammation

• Arthritis

• Subcuataneous nodules

• Endocarditis

CLINICAL MANIFESTATION: WHIPPLES DISEASE

BEHCETS DISEASE

is a chronic relapsing multi-systemic inflammatory disease of an unknown etiology characterized by repeated oral and genital ulcerations, ocular lesions, skin manifestations, arthritis, vasculitis, and gastrointestinal involvement.