Systemic Lupus Erythematosus (SLE) diagnostic criteria

MD SOAP BRAIN

• Malar rash – butterfly rash, sparing of nasolabial folds
• Discoid rash – basement membrane involved, may cause scarring

• Serositis – pleuritis/pericarditis
• Oral ulcers
• Antinuclear antibody (ANA) – very sensitive test
• Photosensitivity – skin rash to sunlight

• Blood – haemolytic anaemia, leukopaenia, thrombocytopaenia
• Renal disorder – proteinuria and cell casts
• Arthritis – symmetrical, involving 2+ small or large peripheral joints
• Immunological disorder – anti-dsDNA
• Neurological – seizures, psychosis

American College of Rheumatology, 1997: requires 4 out of 11

Colles’ fracture

COLLES

• Carpal tunnel syndrome
• Obvious deformity
• Long healing time
• Lack of healing
• Extensor pollicis longus rupture
• Sympathetic dystrophy

Rheumatology

4As of Ank Spon
Apical fibrosis, anterior uveitis, aortic regurg, achilles tendonitis

Carpal Tunnel Syn DOG ARM PIT
Dialysis, Obesity, Gout
Amyloid/Acromegaly, RA, Myxoedema, Pregnancy/Pill, Idiopathic, Trauma/TB

Dupuytrens contracture POT FACED
Peyronie’s, Occupation, Trauma
Familial, Alcohol, Cirrhosis, Epliepsy (antiepileptics), DM

Seronegative Arthropathies SCRAP BW
Stills, Colitis, Reiters, Ankylosing Spondylitis, Psoriasis, Bechets, Whipples

Sarcoid SARCOID
S - Skin (erythema nodosum, nodules, lupus pernio, scar infiltrations)
A – Arthritis, ↑ ACE
R - Respiratory (bilateral hilar lymphadenopathy)
C - Calcium ↑, CNS, Cranial & periph nerve palsies
O - Orbit (keratoconjunctivitis, glaucoma, uveitis), Organomegaly
I - Interstitial lung fibrosis
D - Diabetes insipidus
Or PERNIO
Pulmonary, Eyes, Renal, Nerves, Infiltration (scars), Organomegaly

Swollen DIP joints SPROG
Sarcoid, Psoriasis, Reiters, OA, Gout