Your Name: Maria Dimitry

Theme: Connective Tissue

 

OPTION LIST

 

A

Sjögren’s syndrome

I

Sarcoidosis

B

Scleroderma

J

 

C

Systemic lupus erythematosus

K

 

D

Mixed connective tissue disease

L

 

E

Kawasaki’s disease

M

 

F

Polyarteritis nodosa

N

 

G

Temporal arteritis

O

 

H

Renal amyloidosis

P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 45 year old woman presents with large tongue and swelling of the legs.  She has a high BP and urine dipstick reveals protein +++.The tissue from renal biopsy stains with Congo red dye and shows apple green birefringence under polarised light

 

2. A 28 year old woman presents with malaise, weight loss, an erythematous rash on the face and joint pains.  Both antinuclear antibodies (ANA) and double-stranded DNA (dsDNA) antibodies were found in the serum.

 

3. A 55 year old woman presents with severe, unremitting headache with scalp tenderness.  Her ESR and CRP are raised. A biopsy reveals giant cells.

 

4. A 40 year old man with previous hepatitis B infection presents with weight loss, muscle aches and abdominal pain.  On examination he has high BP and urine dipstick reveals

blood + and protein +

 

5. A 30 year old Afrocaribbean woman presents with tender red nodules on the shins and legs.  She also has joint pains in her feet and hands. Her blood test reveals a raised angiotensin converting enzyme (ACE) and Ca2+ level.

 

 

ANSWERS

1. H

2. C

3. G

4. F

5. I