Undifferentiated connective tissue disease physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Patients with UCTD usually appear well but can present with low-grade fever, Raynaud's phenomenon, rash and Erythema nodosum in the skin examination. On examining HEENT,Conjunctivitis, Uveitis, Keratoconjunctivitis sicca, dry-mouth can be seen. In the neck, lymphadenopathy can be seen. Rhonchi, Wheezing, pleural friction rub and Pericardial friction rub can be heard on auscultation.
Abdomen
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness
- Hepatomegaly
Back
- Tenderness over lumbar vertebrae can occur
- Sacral edema may be seen
Genitourinary
- Rashes can be seen
Neuromuscular
- Altered mental status with psychosis
- Peripheral neuropathy
Extremities
- Pitting/non-pitting edema of the lower extremities.
Physical Examination
- The presence of following findings on physical examination is highly suggestive of undifferentiated connective tissue disease(UCTD):[1][2][3]
Appearance of the Patient
- Patients with UCTD usually appear well..
Vital Signs
- Low-grade fever
Skin
HEENT
Neck
- Lymphadenopathy (describe location, size, tenderness, mobility, and symmetry)
Lungs
- Rhonchi
- Wheezing may be present
- Pleural friction rub
Heart
Abdomen
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness
- Hepatomegaly
Back
- Tenderness over lumbar vertebrae can occur
- Sacral edema may be seen
Genitourinary
- Rashes can be seen
Neuromuscular
- Altered mental status with psychosis
- Peripheral neuropathy
Extremities
- Pitting/non-pitting edema of the lower extremities.
References
- ↑ Bodolay E, Csiki Z, Szekanecz Z, Ben T, Kiss E, Zeher M, Szücs G, Dankó K, Szegedi G (2003). "Five-year follow-up of 665 Hungarian patients with undifferentiated connective tissue disease (UCTD)". Clin. Exp. Rheumatol. 21 (3): 313–20. PMID 12846049.
- ↑ Mosca M, Tani C, Neri C, Baldini C, Bombardieri S (November 2006). "Undifferentiated connective tissue diseases (UCTD)". Autoimmun Rev. 6 (1): 1–4. doi:10.1016/j.autrev.2006.03.004. PMID 17110308.
- ↑ Mosca M, Neri R, Bombardieri S (1999). "Undifferentiated connective tissue diseases (UCTD): a review of the literature and a proposal for preliminary classification criteria". Clin. Exp. Rheumatol. 17 (5): 615–20. PMID 10544849.