AUTOIMMUNE DISORDERS OF THE LARYNX (AND OTHER STRANGE THINGS )
|
|
|
- Zoe Fleming
- 7 years ago
- Views:
Transcription
1 AUTOIMMUNE DISORDERS OF THE LARYNX (AND OTHER STRANGE THINGS ) Lyndsay Madden, DO Otolaryngology/Facial Plastic Surgery PGY 5 Grandview Medical Center/OU-HCOM Dayton, Ohio
2 Rheumatoid arthritis Granulomatosis with Polyangiitis (GPA) Relapsing Polychondritis Sarcoidosis Amyloidosis Granular Cell Tumor Neurofibroma Chondrosarcoma
3 Rheumatoid Arthritis 3F : 1M, 3:1000 Larynx: 25% Symptoms: hoarseness, dysphagia, globus, stridor, throat/anterior neck pain
4 RA Active: red, swollen arytenoids Chronic: CA joint ankylosis, obliteration of joint, cricoid necrosis (late) B/L immobility (RA is destructive ) Other: Myositis, neuropathy of RLN d/t vasculitis associated with RA and postcricoid granulomas
5 Rheumatoid Arthritis Submucosal RA nodules Hoarseness Transverse white-yellow band lesions on superior surface of vocal folds Bilateral, usually not opposing
6 Bamboo Nodules
7 RA treatment Goals reduce pain, inflammation, and inability DMARDS, Corticosteroids, MTX, immunomodulators (monoclonal ab tx) Injection of steroids
8 Granulomatosis with Polyangiitis (GPA) (The Disease formerly know as Wegener s Granulomatosis) Necrotizing granulomatosis and necrotizing vasculitis ENT (larynx-sg/trachea), lungs, kidneys 10-20% WG present with SGS Dx: 80% have + C-ANCA May need tissue biopsy S/S: hoarse, cough, hemoptysis, dyspnea, stridor, wheezing
9 GPA Hallmark Path: Vasculitis Granulomatous inflammation Necrosis
10
11 GPA Tx: systemic First line: Steroids + cyclophosphamide Remission: methotrexate or azathioprine Airway systemic symptoms Dilation (balloon, CO 2 ) + intralesional steroids +/- MMC Stents Trach Tracheal resection: mature stenosis, inactive dz
12 Relapsing Polychondritis Episodic inflammation/fibrosis destroys cartilage Classic ENT manifestations of RP: Auricular, nasal, and laryngotracheal 50% have laryngotracheal disease Symptoms: hoarseness, cough, dyspnea, or pain Can develop airway obstruction Treat: medical (steroids, NSAIDS, MTX) Sometimes surgical for airway
13 RP Imaging, Histo Airway fluoroscopy: eval collapse during exhalation CT/MRI: complimentary Chondritis w/ mixed inflam cell infiltrate
14 Radiographic Imaging
15 RP - Treatment Stents Trach Acute: high-dose steroids injection? Maintenance: methotrexate, low-dose steroids Refractory: azathioprine, cyclophosphamide, cyclosporine, dapsone, or TNF alpha blockers -infliximab
16 Sarcoidosis Systemic inflammatory disease of unknown etiology Non-caseating granulomas Supraglottic >>>> subglottic involvement Thickened epiglottis - Turban like Need biopsy Treat underlying disease Surgical: dilation, steroid injections
17 Sarcoidosis Etiology: unknown Path: noncaseating granulomas 9% w/ent, 1-5% laryngeal Symptoms: mild despite extensive tissue involvement Hoarseness, dyspnea, stridor, dysphagia, cough Progression: slow, relapses/remissions
18 Amyloidosis Idiopathic Abnormal protein deposition ~300 cases of upper airway amyloidosis reported Laryngeal disease: 40 s-60 s, M>F Usually localized; rarely systemic
19 Amyloidosis Location: TVF FVF Ventricle
20 Amyloidosis Sx s: hoarseness, occ airway obstruction Requires biopsy: Congo red staining shows bright apple green birefringence under polarized light microscopy Treatment=surgical excision
21 Granular cell tumor Origin: schwann cells MC tongue/2 nd MC Larynx Associated with: overlying pseudoepitheliomatous hyperplasia of mucosa Location: middle-posterior TVF CC: hoarseness Tx: complete local excision
22 Neurofibroma Solitary > w/ von Recklinghausen s dz Symptoms: hoareseness, dyspnea, dysphagia Location: arytenoid, AEF Size: 2-8 cm! (19 cases) Tx: conservative (since benign) Endoscopic Lateral pharyngotomy, laryngofissure, lateral thyrotomy
23 Pemphigus Loosening epidermal-dermal jxn blebs But, usu don t see blebs sloughed when swallow Tan fibrinous base w/halo of erythema Acantholyic subepithelial lesions w/ BM involvement Direct immunofluorescence = intracellular pattern Laryngeal not uncommon if nasal complaints Symptoms: hoarseness, progressive stridor, dyspnea Location: MC: oral cavity Supraglottis laryngeal surface epiglottis, AEF, arytenoid Tx: oral steroids (high-dose) taper to maintenance
24 Chondrosarcoma Chondrosarcoma common in bone but rare in larynx (<1% of larynx cancers) 75% arise from the cricoid (usually posterior lamina) 6 th or 7 th decade Presents as stridor or dyspnea (occ dysphonia) Surgical excision
25
26 THANK YOU!!! Thanks to Dr. Libby Smith Questions???
Rheumatoid Arthritis
Rheumatoid Arthritis Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Autoimmune diseases are illnesses that occur when the body's tissues are mistakenly
Rheumatoid Arthritis. Outline. Treatment Goal 4/10/2013. Clinical evaluation New treatment options Future research Discussion
Rheumatoid Arthritis Robert L. Talbert, Pharm.D., FCCP, BCPS University of Texas at Austin College of Pharmacy University of Texas Health Science Center at San Antonio Outline Clinical evaluation New treatment
SARCOIDOSIS. Signs and symptoms associated with specific organ involvement can include the following:
SARCOIDOSIS Sarcoidosis is a disease that occurs when areas of inflammation develop in different organs of the body. Very small clusters of inflammation, called granulomas, are seen with sarcoidosis. They
The Most Common Autoimmune Disease: Rheumatoid Arthritis. Bonita S. Libman, M.D.
The Most Common Autoimmune Disease: Rheumatoid Arthritis Bonita S. Libman, M.D. Disclosures Two googled comics The Normal Immune System Network of cells and proteins that work together Goal: protect against
Systemic Lupus Erythematosus
Harvard-MIT Division of Health Sciences and Technology HST.021: Musculoskeletal Pathophysiology, IAP 2006 Course Director: Dr. Dwight R. Robinson Systemic Lupus Erythematosus A multi-system autoimmune
Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.
Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Health Technology Appraisal
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal Adalimumab, etanercept, infliximab, rituximab and abatacept for the treatment of rheumatoid arthritis after the failure
Rheumatoid arthritis (RA) is a systemic inflammatory disorder which has pleuroparenchymal
Introduction: Rheumatoid arthritis (RA) is a systemic inflammatory disorder which has pleuroparenchymal involvement with varied manifestations which includes organizing pneumonia, interstitial fibrosis,
RHEUMATOID ARTHRITIS ASSOCIATED SCLERITIS
RHEUMATOID ARTHRITIS ASSOCIATED SCLERITIS FEHMA TUFAIL M.D Case Report A 77-year-old white male presented with a history of painful, red right eye. The patient was diagnosed with mild iritis in the right
EVIDENCE BASED TREATMENT OF CROHN S DISEASE. Dr E Ndabaneze
EVIDENCE BASED TREATMENT OF CROHN S DISEASE Dr E Ndabaneze PLAN 1. Case presentation 2. Topic on Evidence based Treatment of Crohn s disease - Introduction pathology aetiology - Treatment - concept of
NURS 821 Alterations in the Musculoskeletal System. Rheumatoid Arthritis. Type III Hypersensitivity Response
NURS 821 Alterations in the Musculoskeletal System Margaret H. Birney PhD, RN Lecture 12 Part 2 Joint Disorders (cont d) Rheumatoid Arthritis Definition: Autoimmune disorder occurring in genetically sensitive
Chapter 125: Tracheobronchial and Esophageal Manifestations of Systemic Disease. Cyril M. Grum, Joseph P. Lynch
Chapter 125: Tracheobronchial and Esophageal Manifestations of Systemic Disease Cyril M. Grum, Joseph P. Lynch A wide gamut of otolaryngeal manifestations may occur as complications of a variety of systemic
In non-hodgkin s lymphoma, MabThera is used to treat two types of the disease, both of which affect B-lymphocytes:
EMA/614203/2010 EMEA/H/C/000165 EPAR summary for the public rituximab This is a summary of the European public assessment report (EPAR) for. It explains how the Committee for Medicinal Products for Human
High Impact Rheumatology
High Impact Rheumatology Rheumatology at a Glance Osteoarthritis: Typical hand Hard boney enlargements Heberden s nodes at the DIP joints Bouchard s nodes at the PIP joints Often have squared first CMC
General Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 150.3 Malignant neoplasm of upper third of esophagus C15.3 Malignant neoplasm of upper third of esophagus 150.4 Malignant neoplasm of middle
Rheumatoid Arthritis
Rheumatoid Arthritis While rheumatoid arthritis (RA) has long been feared as one of the most disabling types of arthritis, the outlook has dramatically improved for many newly diagnosed patients. Certainly
Goiter. This reference summary explains goiters. It covers symptoms and causes of the condition, as well as treatment options.
Goiter Introduction The thyroid gland is located at the base of your neck. If the gland becomes abnormally enlarged, it is called a goiter. Goiters usually do not cause pain. But a large goiter could cause
Autoimmune Diseases More common than you think Randall Stevens, MD
Autoimmune Diseases More common than you think Randall Stevens, MD picture placeholder Autoimmune Diseases More than 60 different disorders Autoimmune disorders (AID) diseases caused by the immune system
Diffuse Parotid Gland Enlargement
Non-Neoplastic Parotid Gland Disorders David W. Eisele, M.D., F.A.C.S. Head and Neck Surgery and Oncology UCSF Helen Diller Family Comprehensive Cancer Center University of California, San Francisco Diffuse
Severe rheumatoid arthritis (a disease that causes inflammation of the joints),where MabThera is given intravenously together with methotrexate.
EMA/614203/2010 EMEA/H/C/000165 EPAR summary for the public rituximab This is a summary of the European public assessment report (EPAR) for. It explains how the Committee for Medicinal Products for Human
Rheumatoid Arthritis. Nicole Klett,, M.D.
Rheumatoid Arthritis Nicole Klett,, M.D. Rheumatoid Arthritis Systemic Chronic Inflammatory Primarily targets the synovium of diarthrodial joints Etiology likely combination genetic and environmental Diarthrodial
Once the immune system is triggered, cells migrate from the blood into the joints and produce substances that cause inflammation.
HealthExchange Points For Your Joints An Arthritis Talk Howard Epstein, MD Orthopaedic & Rheumatologic Institute Rheumatic & Immunologic Disease Cleveland Clinic Beachwood Family Health & Surgery Center
Information on Rheumatoid Arthritis
Information on Rheumatoid Arthritis Table of Contents About Rheumatoid Arthritis 1 Definition 1 Signs and symptoms 1 Causes 1 Risk factors 1 Test and diagnosis 2 Treatment options 2 Lifestyle 3 References
Arthritis in Children: Juvenile Rheumatoid Arthritis By Kerry V. Cooke
Reading Comprehension Read the following essay on juvenile rheumatoid arthritis. Then use the information in the text to answer the questions that follow. Arthritis in Children: Juvenile Rheumatoid Arthritis
Infl ectra for rheumatoid arthritis
Infl ectra for rheumatoid arthritis Some important information to get you started with your treatment This booklet is intended only for use by patients who have been prescribed Inflectra. Introduction
OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY
AMERICAN OSTEOPATHIC ASSOCIATION INSTITUTIONAL SEGREGATED TOTAL LOG FORM OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY Training Institution Mailing Address Daytime Phone ( ) Email Name of
Neurosarcoidosis. Jeffrey M. Gelfand, MD
Neurosarcoidosis WASOG Meeting Cleveland October 2012 Patient Education Session Relevant Financial Disclosures: None Jeffrey M. Gelfand, MD Assistant Professor of Clinical Neurology UCSF MS Center, Dept
RHEUMATOID ARTHRITIS. Semmelweis University 3rd Department of Medicine. György Temesszentandrási MD
RHEUMATOID ARTHRITIS Semmelweis University 3rd Department of Medicine György Temesszentandrási MD Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease predominantly affecting diarthrodial
A Genetic Analysis of Rheumatoid Arthritis
A Genetic Analysis of Rheumatoid Arthritis Introduction to Rheumatoid Arthritis: Classification and Diagnosis Rheumatoid arthritis is a chronic inflammatory disorder that affects mainly synovial joints.
ON NOT Associated with MS
ON NOT Associated with MS Neuromyelitis optica (NMO, Devic s disease) Acute disseminated encephalomyelitis (ADEM) Chronic relapsing inflammatory optic neuropathy (CRION) Post-vaccination-associated optic
Other Noninfectious Diseases. Chapter 31 Lesson 3
Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease
Rheumatoid Arthritis: Key Features
Rheumatoid Arthritis: Key Features Symptoms >6 weeks duration Often lasts the remainder of the patient s life Inflammatory synovitis Palpable synovial swelling Morning stiffness >1 hour, fatigue Symmetrical
Laryngeal paralysis in dogs
Laryngeal paralysis in dogs Alasdair Hotston Moore Bath Veterinary Referrals About me Qualified Cambridge, 1990 Post graduate training at Bristol vet school in canine medicine and general/ent surgery until
April 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE
April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working
A LTCI Approach to Managing Rheumatoid Arthritis
A LTCI Approach to Managing Rheumatoid Arthritis A bit of Science, a bit of Art, a lot of Perseverance... Stephen K. Holland, MD Senior Vice President & Medical Director Long Term Care Group, Inc. Long
chronic leukemia lymphoma myeloma differentiated 14 September 1999 Pre- Transformed Ig Surface Surface Secreted Myeloma Major malignant counterpart
Disease Usual phenotype acute leukemia precursor chronic leukemia lymphoma myeloma differentiated Pre- B-cell B-cell Transformed B-cell Plasma cell Ig Surface Surface Secreted Major malignant counterpart
Gastrointestinal Bleeding
Gastrointestinal Bleeding Introduction Gastrointestinal bleeding is a symptom of many diseases rather than a disease itself. A number of different conditions can cause gastrointestinal bleeding. Some causes
subcutaneous initially every 4 weeks then every 12 weeks Coverage Criteria: Express Scripts, Inc. monograph dated 02/24/2010
BENEFIT DESCRIPTION AND LIMITATIONS OF COVERAGE ITEM: PRODUCT LINES: COVERED UNDER: DESCRIPTION: CPT/HCPCS Code: Company Supplying: Setting: Humira (adalimumab subcutaneous injection) Commercial HMO/PPO/CDHP
Psoriatic Arthritis. Title. Understanding and Managing. in All the Wrong Places. Clinical Features. Etiology of Psoriatic Arthritis
Focus on CME at Memorial University Understanding and Managing Title Psoriatic Arthritis in All the Wrong Places Proton Rahman MD, MSc, FRCPC Although Baron Jean-Luis Aubert offered the first case description
Pulmonary interstitium. Interstitial Lung Disease. Interstitial lung disease. Interstitial lung disease. Causes.
Pulmonary interstitium Interstitial Lung Disease Alveolar lining cells (types 1 and 2) Thin elastin-rich connective component containing capillary blood vessels Interstitial lung disease Increase in interstitial
Headaches + Facial pain
Headaches + Facial pain Introduction: Each of us experienced sporadically/ chronically headache 40% worldwide population suffers with severe, disabling headache at least annually Common ailment Presenting
Immune Modulating Drugs Prior Authorization Request Form
Patient: HPHC member ID #: Requesting provider: Phone: Servicing provider: Diagnosis: Contact for questions (name and phone #): Projected start and end date for requested Requesting provider NPI: Fax:
Arthritis and Rheumatology Clinics of Kansas Patient Education. Reactive Arthritis (ReA) / Inflammatory Bowel Disease (IBD) Arthritis
Arthritis and Rheumatology Clinics of Kansas Patient Education Reactive Arthritis (ReA) / Inflammatory Bowel Disease (IBD) Arthritis Introduction: For as long as scientists have studied rheumatic disease,
Arthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
X-Plain Psoriasis Reference Summary
X-Plain Psoriasis Reference Summary Introduction Psoriasis is a long-lasting skin disease that causes the skin to become inflamed. Patches of thick, red skin are covered with silvery scales. It affects
Rheumatoid Arthritis Information
Rheumatoid Arthritis Information Definition Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues. It can also affect other organs. Alternative
Thyroid Disorders. Hypothyroidism
1 There are a number of problems associated with the thyroid gland. Hypothyroidism, hyperthyroidism, and thyroid nodules will be presented here. The thyroid gland is located in the middle of the neck,
Biologic Treatments for Rheumatoid Arthritis
Biologic Treatments Rheumatoid Arthritis (also known as cytokine inhibitors, TNF inhibitors, IL 1 inhibitor, or Biologic Response Modifiers) Description Biologics are new class of drugs that have been
Speech therapy in treatment of Vocal cord Nodules
Speech therapy in treatment of Vocal cord Nodules Definition Small benign swellings/ Edema of the subepithelial tissue Along margins of the vocal cords At the junction of the anterior and middle thirds.
Influenza (Flu) Influenza is a viral infection that may affect both the upper and lower respiratory tracts. There are three types of flu virus:
Respiratory Disorders Bio 375 Pathophysiology General Manifestations of Respiratory Disease Sneezing is a reflex response to irritation in the upper respiratory tract and is associated with inflammation
Tests. Pulmonary Functions
Pulmonary Functions Tests Static lung functions volumes Dynamic lung functions volume and velocity Dynamic Tests Velocity dependent on Airway resistance Resistance of lung tissue to change in shape Dynamic
2.06 Understand the functions and disorders of the respiratory system
2.06 Understand the functions and disorders of the respiratory system 2.06 Understand the functions and disorders of the respiratory system Essential questions What are the functions of the respiratory
Nasal and Sinus Disorders
Nasal and Sinus Disorders Chronic Nasal Congestion When nasal obstruction occurs without other symptoms (such as sneezing, facial pressure, postnasal drip etc.) then a physical obstruction might be the
Rheumatoid Arthritis www.arthritis.org.nz
Rheumatoid Arthritis www.arthritis.org.nz Did you know? Rheumatoid arthritis (RA) is the third most common form of arthritis Approximately 40,000 New Zealanders have RA RA can occur at any age, but most
Current Rheumatoid Arthritis Treatment Options: Update for Managed Care and Specialty Pharmacists
Current Rheumatoid Arthritis Treatment Options: Update for Managed Care and Specialty Pharmacists 1. Which of the following matches of biologic targets that contribute to rheumatoid arthritis (RA) and
Rheumatoid Arthritis
Rheumatoid Arthritis Carole Callaghan Principal Pharmacist NHS Lothian Aim To update pharmacists on the current management of rheumatoid arthritis and explore ways to implement pharmaceutical care for
Rheumatoid Arthritis:
Rheumatoid Arthritis Update 2014 Mark Hulsey, MD FACR Rheumatoid Arthritis Key Features Symptoms >6 weeks duration Often lasts the remainder of the patient s life Inflammatory synovitis Palpable synovial
Rheumatoid Arthritis. Disease RA Final.indd 2 15. 6. 10. 11:23
Rheumatoid Arthritis Disease RA Final.indd 2 15. 6. 10. 11:23 Understanding what to expect can help you prepare for your transition into treatment. Rheumatoid Arthritis What You Need To Know About Rheumatoid
Understanding Rheumatoid Arthritis
Understanding Rheumatoid Arthritis Understanding Rheumatoid Arthritis What Is Rheumatoid Arthritis? 1,2 Rheumatoid arthritis (RA) is a chronic autoimmune disease. It causes joints to swell and can result
Spine University s Guide to Vertebral Osteonecrosis (Kummel's Disease)
Spine University s Guide to Vertebral Osteonecrosis (Kummel's Disease) 2 Introduction Kummel's disease is a collapse of the vertebrae (the bones that make up the spine). It is also called vertebral osteonecrosis.
TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT
TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT Introduction : ETB 15-20% Pleural effusion 20% in non HIV Under reporting because of AFB negative in fluid In HIV patients: EPTB 20% PTB + EPTB 50% Pleural Effusion
X-Plain Rheumatoid Arthritis Reference Summary
X-Plain Rheumatoid Arthritis Reference Summary Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating
Rheumatoid Arthritis. What is rheumatoid arthritis? Understanding joints. What causes rheumatoid arthritis?
Page 1 of 6 Rheumatoid Arthritis Rheumatoid arthritis causes inflammation, pain, and swelling of joints. In time, affected joints typically become damaged. The severity can vary from mild to severe. Treatments
Management of spinal cord compression
Management of spinal cord compression (SUMMARY) Main points a) On diagnosis, all patients should receive dexamethasone 10mg IV one dose, then 4mg every 6h. then switched to oral dose and tapered as tolerated
Guidelines for the Pharmaceutical Management of Rheumatoid Arthritis Swedish Society of Rheumatology, April 14, 2011
Guidelines for the Pharmaceutical Management of Rheumatoid Arthritis Swedish Society of Rheumatology, April 14, 2011 Working party: Eva Baecklund, Helena Forsblad d Elia, Carl Turesson Background Our purpose
Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette
TRACHEOSTOMY TUBE PARTS
Page1 NR 33 TRACHEOSTOMY CARE AND SUCTIONING Review ATI Basic skills videos: Tracheostomy care and Endotracheal suction using a closed suction set. TRACHEOSTOMY TUBE PARTS Match the numbers on the diagram
Rheumatoid arthritis
Rheumatoid arthritis Rheumatoid arthritis Chronic multisystem disease Unknown cause Characteristic feature persistent inflammation of synovia in symmetric peripheral joints Synovial inflammation cartilage
Temple Physical Therapy
Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us
Registered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk
Registered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk Behçet s Disease and the Kidneys How are the kidneys affected by Behçet s disease? Kidney disease
Rheumatoid arthritis: an overview. Christine Pham MD
Rheumatoid arthritis: an overview Christine Pham MD RA prevalence Chronic inflammatory disease affecting approximately 0.5 1% of the general population Prevalence is higher in North America (approaching
Rheumatoid Arthritis. Compiled by Darreck My Healing Oils notes
Rheumatoid Arthritis Compiled by Darreck My Healing Oils notes What is Rheumatoid Arthritis Rheumatoid arthritis (RA) is an autoimmune disease where the body's immune system attacks normal joint tissues,
Rheumatoid Arthritis www.arthritis.org.nz
Rheumatoid Arthritis www.arthritis.org.nz Did you know? RA is the second most common form of arthritis Approximately 40,000 New Zealanders have RA RA can occur at any age, but most often appears between
Dr Sarah Levy Consultant Rheumatology Croydon University Hospital
Dr Sarah Levy Consultant Rheumatology Croydon University Hospital Contents Definition/ epidemiology Diagnosis Importance of early diagnosis/ treatment Guidelines Evidence based treatment protocol Current
Arthritis and Rheumatology. Antoni Chan MBChB, FRCP, PhD Consultant Rheumatologist Royal Berkshire NHS Foundation Trust
Antoni Chan MBChB, FRCP, PhD Consultant Rheumatologist Royal Berkshire NHS Foundation Trust Rheumatology Investigation, Diagnosis, Treatment The challenge 8 billion a year in cost 700,000 people suffering
Do I need a physician referral? Yes, we see patients on referral from a health care provider.
FAQS FOR OFFICE POLICIES How do I get an appointment? New appointments are made by physician referral only. Your referring health care provided will call for the appointment for you. What do I need to
LUNG CANCER SCREENING: UNDERSTANDING LUNG NODULES. 1-800-298-2436 LungCancerAlliance.org
LUNG CANCER SCREENING: UNDERSTANDING LUNG NODULES 1-800-298-2436 LungCancerAlliance.org 1 1 CONTENTS What is a Nodule?...3 Finding Nodules...4 If a Nodule Is Found...5 What Happens Next?...7 Questions
National MS Society Information Sourcebook www.nationalmssociety.org/sourcebook
National MS Society Information Sourcebook www.nationalmssociety.org/sourcebook Chemotherapy The literal meaning of the term chemotherapy is to treat with a chemical agent, but the term generally refers
Rheumatoid Arthritis
What is Rheumatoid Arthritis? Rheumatoid Arthritis (RA) is a chronic and systemic disease that causes pain, stiffness, swelling, and limitation in the motion and function of multiple joints. Though joints
Use of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center
Use of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center Features of esophageal cancer Esophageal cancer is an abnormal growth that arises
.org. Osteochondroma. Solitary Osteochondroma
Osteochondroma Page ( 1 ) An osteochondroma is a benign (noncancerous) tumor that develops during childhood or adolescence. It is an abnormal growth that forms on the surface of a bone near the growth
11/10/2014. I have nothing to Disclose. Covered Stents discussed are NOT FDA approved for the indications covered in my presentation
I have nothing to Disclose Ramsey Dallal, MD, FACS Vice Chair Department of Surgery Chief Bariatric i and Minimally i Invasive Surgery Einstein Healthcare Network Nemacolin, PA 2014 Covered Stents discussed
RHEUMATOID ARTHRITIS: PRIMARILY AN AUTOIMMUNE DISEASE JOHNATHON DUFTON, MD
RHEUMATOID ARTHRITIS: PRIMARILY AN AUTOIMMUNE DISEASE JOHNATHON DUFTON, MD RHEUMATOID ARTHRITIS: PRIMARILY AN AUTOIMMUNE DISEASE ACTIVITY DESCRIPTION Rheumatoid arthritis (RA) is an inflammatory type of
Respiratory Concerns in Children with Down Syndrome
Respiratory Concerns in Children with Down Syndrome Paul E. Moore, M.D. Associate Professor of Pediatrics and Pharmacology Director, Pediatric Allergy, Immunology, and Pulmonary Medicine Vanderbilt University
Symptoms ongoing for 6/12, initially intermittent in nature.
Rheumatoid Arthritis Case Study INTRODUCTION Each student will have watched the relevant MDT member carrying out their initial assessment on the same newly diagnosed Rheumatoid Arthritis patient. Videos
CT Scheduling Guidelines
March 2015 1250 S. Cedar Crest Blvd., Suite 100, Allentown, PA 18103 Phone: 610-435-1600; Fax: 610-435-8330 NPI: 1164400131 250 Cetronia Road, Suite 101, Allentown, PA 18104 Phone: 610-674-4940; Fax: 610-674-4944
Let s talk about Arthritis
Let s talk about Arthritis Osteoarthritis Rheumatoid Arthritis Kam Shojania, MD, FRCPC Clinical Professor and Head, St. Paul s, UBC and VGH Divisions of Rheumatology Slides with thanks to: Cheryl Koehn
Finding out your child has Juvenile Idiopathic Arthritis (JIA)
Finding out your child has Juvenile Idiopathic Arthritis (JIA) Information for parents, families and carers Jetstar Flying Start Ambassador Steve Price with Tamsin Taylor and Jennifer McNaughton Did you
Roche s RoACTEMRA improved rheumatoid arthritis signs and symptoms significantly more than adalimumab as single-agent therapy
Media Release Basel, 6 June 2012 Roche s RoACTEMRA improved rheumatoid arthritis signs and symptoms significantly more than adalimumab as single-agent therapy Roche (SIX: RO, ROG; OTCQX: RHHBY) today announced
SARCOIDOSIS AND THE NERVOUS SYSTEM
SARCOIDOSIS AND THE NERVOUS SYSTEM www.stopsarcoidosis.org SARCOIDOSIS AND THE NERVOUS SYSTEM What Is Neurosarcoidosis? Sarcoidosis is an inflammatory disease that can affect almost any organ in the body.
MULTIPLE MYELOMA 1 PLASMA CELL DISORDERS Multiple l Myeloma Monoclonal Gammopathy of Undetermined Significance (MGUS) Smoldering Multiple Myeloma (SMM) Solitary Plasmacytoma Waldenstrom s Macroglobulinemia
800-475-6473. www.sjogrens.org. www.sjogrens.org
S j ö g r e n s F a s t F a c t s l The hallmark symptoms of Sjögren s syndrome are dry eyes and dry mouth. l Sjögren s is one of the most prevalent autoimmune disorders, striking as many as 4,000,000
Oncology. Objectives. Cancer Nomenclature. Cancer is a disease of the cell Cancer develops when certain cells begin to grow out of control
Oncology Objectives Describe the etiology and pathophysiological mechanisms of cancer Discuss medical and family history findings relevant to cancer Identify general signs and symptoms associated with
Objectives. Burn Assessment and Management. Questions Regarding the Case Study. Case Study. Patient Assessment. Patient Assessment
Objectives Burn Assessment and Management Discuss the mechanisms and complications of a thermal burn, electrical burn and an inhalation burn Explain the factors to consider when determining the severity
Drug Therapy Guidelines: Humira (adalimumab)
Drug Therapy Guidelines: Humira (adalimumab) Effective Date: 5/1/08 Committee Review Date: 1/6/01, 9/18/01, 1/15/02, 1/7/03, 1/20/04, 1/18/05, 12/7/05, 10/15/06, 7/2/07, 11/5/07, 3/25/08 Policy Statements:
Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose
Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology
Treatment Guide Interstitial Lung Disease
Treatment Guide Interstitial Lung Disease Since interstitial lung disease (ILD) is not a single disease but a group of more than 200 different pulmonary disorders, it can be confusing to understand exactly
LARYNGEAL INVOLVEMENT IN RHEUMATOID ARTHRITIS
LARYNGEAL INVOLVEMENT IN RHEUMATOID ARTHRITIS ABDUL-LATIF HAMDAN *, MOHAMAD EL-KHATIB **, WALID DAGHER *** AND IMAD OTHMAN **** Abstract Patient with rheumatoid arthritis should be screened prior to surgery
DISEASE-MODIFYING ANTIRHEUMATIC DRUG THERAPY FOR RHEUMATOID ARTHRITIS
DISEASE-MODIFYING ANTIRHEUMATIC DRUG THERAPY FOR RHEUMATOID ARTHRITIS APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE NCQA APPROVED CODES HEDIS
TREATMENT OF CHURG-STRAUSS SYNDROME WITH AN INHALED CORTICOSTEROID AFTER ORAL STEROIDS DISCONTINUATION DUE TO SIDE EFFECTS
JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2008, 59, Suppl 6, 689-695 www.jpp.krakow.pl E. SWIETLIK 1, A. DOBOSZYNSKA 1, 2 TREATMENT OF CHURG-STRAUSS SYNDROME WITH AN INHALED CORTICOSTEROID AFTER ORAL STEROIDS