Contributing Authors

iii

Chairman’s Note

v

Preface

vi

PART I

INTRODUCTION TO THE RHEUMATOLOGY CONSULT

1

Approach to the Rheumatology Patient   Maria C. Gonzalez-Mayda and Leslie E. Kahl

1

2

Rheumatologic Joint Examination   Michael L Sams and Leslie E. Kahl

15

3

Arthrocentesis: Aspirating and Injecting Joints and Bursa   Rebecca Brinker and Leslie-E. Kahl

20

4

Synovial Fluid Analysis   Jeffrey Sparks and Leslie E. Kahl

29

5

Laboratory Evaluation of Rheumatic Diseases   Kristine A. Kuhn and Leslie E. Kahl

31

6

Radiographic Imaging of Rheumatic Diseases   Ashwini Komaria and Leslie E. Kahl

42

7

Rheumatologic Emergencies   Reeti Joshi and Leslie E. Kahl

52

8

Regional Pain Syndromes   Michael L. Sams and Leslie E. Kahl

58

9

Drugs Used for the Treatment of Rheumatic Diseases   Alfred H.J. Kim and Leslie E. Kahl

88

PART II

COMMON RHEUMATIC DISEASES

10

Rheumatoid Arthritis   Richa Gupta and Prabha Ranganathan

105

11

Osteoarthritis   Hyon Ju Park and Prabha Ranganathan

118

12

Systemic Lupus Erythematosus   Alfred H.J. Kim and Wayne M. Yokoyama

124

PART III

CRYSTALLINE ARTHRITIS

13

Gout   Richa Gupta and Wayne M. Yokoyama

145

14

Calcium Pyrophosphate Dihydrate Crystal Deposition Disease   Amy Archer and Wayne M. Yokoyama

154

PART IV

SPONDYLOARTHROPATHIES

15

Undifferentiated Spondyloarthntis   Kristine A. Kuhn and Wayne M. Yokoyama

180

16

Ankylosing Spondylitis   Lesley Davila and Wayne M. Yokoyama

169

17

Psoriatic Arthritis   Amy Archer and Wayne M. Yokoyama

176

18

Reactive Arthritis   Reeti Joshi and Wayne M. Yokoyama

183

19

Enteropathic Arthritis   Kristine A. Kuhn and Wayne M. Yokoyama

188

PART V

VASCULITIS

20

Vasculitis   Alfred H.J. Kim and John P. Atkinson

194

21

Takayasu’s Arteritis   Michael L. Sams and John P. Atkinson

203

22

Giant Cell Arteritis and Polymyalgia Rheumatica   Alfred H.J. Kim and John P. Atkinson

208

23

Polyarteritis Nodosa   Maria C. Gonzalez-Mayda and John P. Atkinson

225

24

Wegener’s Granulomatosis   Jeffrey Sparks and John P. Atkinson

232

25

Churg-Strauss Syndrome   Lesley Davila and John P. Atkinson

238

26

Microscopic Polyangiitis   Kristine A. Kuhn and John P. Atkinson

243

27

Henoch-Schonlein Purpura   Amy Archer and John P. Atkinson

250

28

Cryoglobulinemia and Cryoglobulinemic Vasculitis   Reeti Joshi and John P. Atkinson

256

29

Cutaneous Vasculitis   Michael L. Sams and John P. Atkinson

264

30

Thromboangiitis Obliterans   Rebecca Brinker and John P. Atkinson

270

31

Behc,et’s Disease   Maria C. Gonzalez-Mayda and John P. Atkinson

275

PART VI

INFECTION AND RELATED DISORDERS

32

Infectious Arthritis   Jeffrey Sparks and Prabha Ranganathan

282

33

Lyme Disease   Rebecca Brinker and Prabha Ranganathan

288

34

Acute Rheumatic Fever   Jeffrey Sparks and Prabha Ranganathan

295

PART VII

OTHER RHEUMATIC DISORDERS

35

Inflammatory Myopathies   Hyon Ju Park and Prabha Ranganathan

301

36

Fibromyalgia Syndrome   Lesley Davila and Amy Joseph

310

37

Sjogren’s Syndrome   Maria C. Gonzatez-Mayda and Amy Joseph

315

38

Scleroderma   Hyon Ju Park and Amy Joseph

321

39

Antiphospholipid Syndrome   Lesley Davila and Amy Joseph

329

40

Mixed Connective Tissue Disease   Reeti Joshi and Amy Joseph

336

41

Undifferentiated Connective Tissue Disease   Rebecca Brinker and Amy Joseph

340

42

Adult-Onset Still’s Disease   Amy Archer and John P. Atkinson

344

43

Relapsing Polychondritis   Lesley Davila and John P. Atkinson

349

44

Deposition and Storage Arthropathies   Hyon Ju Park and Zarmeena AH

354

45

Sarcoid Arthropathy   Lesley Davila and Leslie E. Kahl

362

46

Amyloidosis and Amyloid Arthropathy   Rebecca drinker and Zarmeena Ali

367

47

Miscellaneous Skin Conditions   Reeti Joshi, Zarmeena Ali, and Leslie E. Kahl

374

48

Osteoporosis   Ashwini Komarla, Richa Gupta, and Zarmeena Ali

381

49

Avasctilar Necrosis   Richa Gupta, Ashwini Komarla, and Zarmeena Ali

390

50

Hereditary Periodic Fever Syndromes   Hyon Ju Park and John P. Atkinson

395

Index

403