Mixed connective tissue disease physical examination: Difference between revisions
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** Suggests [[pulmonary hypertension]] | ** Suggests [[pulmonary hypertension]] | ||
===Lungs=== | ===Lungs=== | ||
* Bibasilar 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> | ||
*Rhonchi | *[[Rhonchi]] | ||
*[[Wheezing]] may be present | *[[Wheezing]] may be present | ||
===Heart=== | ===Heart=== | ||
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* [[Arthritis]] | * [[Arthritis]] | ||
** Symmetric and polyarticular | ** Symmetric and polyarticular | ||
** Mostly involve knees, carpal joints, and joints of the fingers, especially the proximal [[interphalangeal]] (PIP) joint | ** Mostly 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]] | ** Due to [[synovitis]] | ||
Revision as of 18:48, 17 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
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 Pallor
- 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
- Mostly 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.