Mixed connective tissue disease physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
Physical examination of patients with MCTD is usually remarkable by clinical features seen in [[Systemic lupus erythematosus|systemic lupus erythematosus (SLE)]], [[Rheumatoid arthritis|rheumatoid arthritis (RA)]], [[Dermatomyositis|dermatomyositis (DM)]], [[polymyositis]], and [[scleroderma]]. Physical examination in patients with MCTD include [[tachycardia]], [[tachypnea]], periungual [[telangiectasia]], [[sclerodactyly]], [[Jugular venous pressure|jugular vein distention]], [[rhonchi]] and [[Wheeze|wheezing]], [[ | Physical examination of patients with MCTD is usually remarkable by clinical features seen in [[Systemic lupus erythematosus|systemic lupus erythematosus (SLE)]], [[Rheumatoid arthritis|rheumatoid arthritis (RA)]], [[Dermatomyositis|dermatomyositis (DM)]], [[polymyositis]], and [[scleroderma]]. Physical examination in patients with MCTD include [[tachycardia]], [[tachypnea]], periungual [[telangiectasia]], [[sclerodactyly]], [[Jugular venous pressure|jugular vein distention]], [[rhonchi]] and [[Wheeze|wheezing]], [[joint swelling]] and [[tenderness]], and joints [[erythema]] and effusion. | ||
==Physical Examination== | ==Physical Examination== | ||
| Line 16: | Line 16: | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Tachycardia]] <ref name="pmid15716315">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | *[[Tachycardia]]<ref name="pmid15716315">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | ||
*[[Tachypnea]] | *[[Tachypnea]] | ||
===Skin=== | ===Skin=== | ||
* Periungual [[Telangiectasia|telangiectasias]] and [[erythema]] may be present | * Periungual [[Telangiectasia|telangiectasias]] and [[erythema]] may be present | ||
* Skin may be [[ | * Skin may be [[pale]] (secondary to [[anemia]]) | ||
* [[Sclerodactyly]] | * [[Sclerodactyly]] | ||
* Skin [[Ulcerations|ulceration]] | * Skin [[Ulcerations|ulceration]] | ||
| Line 30: | Line 29: | ||
===Neck=== | ===Neck=== | ||
* [[Lymphadenopathy]] <ref name="pmid24353496">{{cite journal |vauthors=Latuśkiewicz-Potemska J, Zygmunt A, Biernacka-Zielińska M, Stańczyk J, Smolewska E |title=Mixed connective tissue disease presenting with progressive scleroderma symptoms in a 10-year-old girl |journal=Postepy Dermatol Alergol |volume=30 |issue=5 |pages=329–36 |date=October 2013 |pmid=24353496 |pmc=3858664 |doi=10.5114/pdia.2013.38365 |url=}}</ref> | * [[Lymphadenopathy]] <ref name="pmid24353496">{{cite journal |vauthors=Latuśkiewicz-Potemska J, Zygmunt A, Biernacka-Zielińska M, Stańczyk J, Smolewska E |title=Mixed connective tissue disease presenting with progressive scleroderma symptoms in a 10-year-old girl |journal=Postepy Dermatol Alergol |volume=30 |issue=5 |pages=329–36 |date=October 2013 |pmid=24353496 |pmc=3858664 |doi=10.5114/pdia.2013.38365 |url=}}</ref> | ||
* [[Jugular venous distension]] | * [[Jugular venous distension]] (suggests [[pulmonary hypertension]]) | ||
===Lungs=== | ===Lungs=== | ||
* Bibasilar [[Rales|crackles]]<ref name="pmid157163152">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | * Bibasilar [[Rales|crackles]]<ref name="pmid157163152">{{cite journal |vauthors=Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G |title=Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD) |journal=Rheumatology (Oxford) |volume=44 |issue=5 |pages=656–61 |date=May 2005 |pmid=15716315 |doi=10.1093/rheumatology/keh575 |url=}}</ref> | ||
| Line 44: | Line 42: | ||
* Genitourinary examination of patients with mixed connective tissue disease is usually normal. | * Genitourinary examination of patients with mixed connective tissue disease is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
*[[Joint swelling]] and [[tenderness]] | *[[Joint swelling]] and [[tenderness]] (features of [[rheumatologic disease]]) | ||
* [[Arthritis]] | * [[Arthritis]] | ||
** Symmetric and polyarticular | ** Symmetric and polyarticular | ||
** | ** Majority of times involve knees, carpal [[Joint|joints]], and [[Joint|joints]] of the fingers, especially the proximal [[interphalangeal]] (PIP) [[joint]] | ||
** Decrease [[range of motion]] | ** Decrease [[range of motion]] | ||
* Joints [[erythema]] | * Joints [[erythema]] (due to [[synovitis]]) | ||
* Joint effusion | * Joint effusion | ||
==References== | ==References== | ||
Revision as of 18:21, 30 April 2018
|
Mixed connective tissue disease Microchapters |
|
Differentiating Mixed connective tissue disease from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Mixed connective tissue disease physical examination On the Web |
|
American Roentgen Ray Society Images of Mixed connective tissue disease physical examination |
|
Mixed connective tissue disease physical examination in the news |
|
Blogs onMixed connective tissue disease physical examination |
|
Directions to Hospitals Treating Mixed connective tissue disease |
|
Risk calculators and risk factors for Mixed connective tissue disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Physical examination of patients with MCTD is usually remarkable by clinical features seen in systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), dermatomyositis (DM), polymyositis, and scleroderma. Physical examination in patients with MCTD include tachycardia, tachypnea, periungual telangiectasia, sclerodactyly, jugular vein distention, rhonchi and wheezing, joint swelling and tenderness, and joints erythema and effusion.
Physical Examination
- Physical examination of patients with MCTD is usually remarkable by clinical features seen in systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), dermatomyositis (DM), polymyositis, and scleroderma.
Appearance of the Patient
- Patient appears well in the earlier stages of the disease
- Patient appears ill in the late stages of the disease due to multi-organ involvement
Vital Signs
Skin
- Periungual telangiectasias and erythema may be present
- Skin may be pale (secondary to anemia)
- Sclerodactyly
- Skin ulceration
HEENT
- HEENT examination of patients with mixed connective tissue disease is usually normal.
Neck
Lungs
Heart
- Cardiovascular examination of patients with mixed connective tissue disease is usually normal.
Abdomen
- Abdominal examination of patients with mixed connective tissue disease is usually normal.
Genitourinary
- Genitourinary examination of patients with mixed connective tissue disease is usually normal.
Extremities
- Joint swelling and tenderness (features of rheumatologic disease)
- Arthritis
- Symmetric and polyarticular
- Majority of times involve knees, carpal joints, and joints of the fingers, especially the proximal interphalangeal (PIP) joint
- Decrease range of motion
- Joints erythema (due to synovitis)
- Joint effusion
References
- ↑ Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G (May 2005). "Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD)". Rheumatology (Oxford). 44 (5): 656–61. doi:10.1093/rheumatology/keh575. PMID 15716315.
- ↑ Latuśkiewicz-Potemska J, Zygmunt A, Biernacka-Zielińska M, Stańczyk J, Smolewska E (October 2013). "Mixed connective tissue disease presenting with progressive scleroderma symptoms in a 10-year-old girl". Postepy Dermatol Alergol. 30 (5): 329–36. doi:10.5114/pdia.2013.38365. PMC 3858664. PMID 24353496.
- ↑ Bodolay E, Szekanecz Z, Dévényi K, Galuska L, Csípo I, Vègh J, Garai I, Szegedi G (May 2005). "Evaluation of interstitial lung disease in mixed connective tissue disease (MCTD)". Rheumatology (Oxford). 44 (5): 656–61. doi:10.1093/rheumatology/keh575. PMID 15716315.