By Douglas N. Golding (Auth.)
This specific account of contemporary rheumatology has been revised and up-to-date to incorporate new chapters at the type of rheumatic issues, analgesic medicinal drugs in rheumatic problems and issues as a result of vasculitis. Illustrative case stories and extra textual content references were additional to the publication. New fabric comprises fresh paintings on antinuclear antibodies and extractable nuclear antigens, imaging in arthritis and bone affliction, new principles at the inflammatory response and the motion of non-steroidal sulfasalazine, the category of scleroderma, study effects on crystal-induced arthritis, rheumatic gains of hyperlipoproteinaemia, arthritis in liver illness, eye involvement in rheumatic issues and new advancements within the prognosis and therapy of again soreness. The booklet has been constructed so that it will support trainee and practicing common physicians, rheumatologists and orthopaedic surgeons and applicants for the MRCP and FRCS, the MB and BCh
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Additional resources for A Synopsis of Rheumatic Diseases
Uncommon with the small doses normally used, but may be important in patients with incipient cardiorenai disease. 5. Dissemination of latent, infections, including tuberculosis. ) 6. Osteoporosis. Crush fractures of vertebrae are common in patients on long-term steroids and spine should be radiographed at intervals (possibly due to reduced serum calcitriol5). Calcium supplements (and possibly small intermittent doses of vitamin D or one-alpha) should be given to all patients on long-term steroid therapy.
7 Avoid by very gradual steroid withdrawal/alternate-day therapy. An itchy panniculitis, rhinitis or conjunctivitis may follow rapid steroid withdrawal. Corticotrophin (ACTH) by injection may be given as an alternative to oral systemic steroids. Usually subcutaneous injection (20-80 units long-acting ACTH gel daily). Side-effects are at least as frequent as those with steroids, so rarely used. However, less growth suppression occurs with ACTH than with steroids, so may be used in juvenile arthritis.
3. Dyspepsia. May be obviated by enteric-coated preparations. Peptic ulcer may be activated and caution must be exercised in patients with previous ulceration, although recently held that NSAIDs are much more important in producing peptic ulcers, perforations and bleeds than steroids. Fig. 1. Steroid identification bracelet (note incorrect spelling of 'prednisolone'). 32 A Synopsis of Rheumatic Diseases 4. Salt and water retention. Uncommon with the small doses normally used, but may be important in patients with incipient cardiorenai disease.
A Synopsis of Rheumatic Diseases by Douglas N. Golding (Auth.)