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Some basic rheumatology cases & common mistakes for beginners

Assistant Prof. Ahmed Yehia Ismaeel

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🎯 Objectives

By the end of this lecture, you should be able to:

Recognize common rheumatology emergencies

Identify red flags

Know when to refer urgently

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🚨 Why this matters?

Missing these =

high morbidity & mortality

Rheumatology patients may present with

Life-threatening complications

Drug-related emergencies

Pregnancy-related risks

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Goal

The goal of the musculoskeletal evaluation is to formulate a D.D. that leads to an accurate diagnosis & timely therapy, while avoiding excessive diagnostic testing & unnecessary treatment.

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1st , back to basics……

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Entheseopathy/itis

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  • A careful history provides 80% of the diagnostic information.
  • Physical examination adds another 15%.
  • While Imaging and aboratory together contribute only 5%.

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So , don’t request an investigation unless

  1. You have done a thorough history and examination.
  2. A D.D. exists in your mind ,
  3. It will change the plan of management and
  4. You know how to interpret it.

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Case

A 4-year-old girl presents with 2 months history of bilateral knee & right wrist arthritis.

What’s the best next step?

Put a differential diagnosis to guide diagnosis plan.

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Differential diagnosis �of childhood arthritis.

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Mostly no.

Duration (chronic > 6 weeks)

Echocardiography: normal

Is this rheumatic fever?

ASOT

600 🡪 800 (Rising)

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Is this juvenile idiopathic arthritis(JIA)?

All were non-significant.

So, we requested

ESR, CRP, ANA (IF) with titre, rheumatoid factor, TSH, calcium, s. 25 OH vitamin D.

JIA is a diagnosis of exclusion.

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Approach to arthritis can be classified into 8 steps :�

  1. Articular or non-articular pain
  2. Is articular pain arthralgia or arthritis?
  3. Acute or chronic (Duration)?
  4. Inflammatory or non-inflammatory?
  5. Mono, oligo or polyarticular (Number)
  6. Distribution: Symmetrical or asymmetrical; with or without axial involvement
  7. Extraarticular manifestations present or absent
  8. The patient as a whole (demographics)

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Jones criteria for diagnosis of acute rheumatic fever

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ASOT is one of the most badly used labs in Egypt.

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So, this a case of JIA

  • Onset: before 18 years of age.
  • Duration: manifestations persist for at least six weeks.
  • Exclusion: etiology is unknown.

Per ILAR criteria, JIA is a diagnosis of exclusion.

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JIA is the commonest cause of chronic arthritis in children.

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Case

    • Acute onset right knee pain and swelling for 2 days
    • Inability to bear weight
    • Fever (38.8°C)

A 16-year-old girl presents to the emergency department with

    • Sore throat 3 weeks ago (self-limited, no antibiotics)

History

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Examination

Ill-looking, febrile

Right knee

    • Marked swelling
    • Warmth, erythema
    • Severe tenderness
    • Restricted passive and active movement

No

    • Cardiac murmurs
    • Skin rash
    • Chorea
    • Other joint involvement

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Initial Investigations

WBC

    • elevated

ESR/CRP

    • markedly elevated

ASOT

    • 800 IU/mL (elevated)

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Jones criteria for diagnosis of acute rheumatic fever

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So, she fulfilled the ARF criteria.

SO, THE PHYSICIAN DIAGNOSED HER AS ARF.

SHE GAVE HER HIGH DOSE ASPIRIN & DISCHARGED HER.

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  • She came 1 week later with worsening swelling, redness, pain & limitation of movement.
  • What went wrong?

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Monoarthritis

Acute

Septic until proven otherwise

An essential rule

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it will lead unfortunately to

irreversible damage

lifelong disability

if not death from disseminated infection.

If a septic monoarticular joint was not diagnosed & treated properly,

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Then what is the best first step in acute monoarthritis?

The first step is

Joint aspiration

This is to be treated as a rheumatological emergency.

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Acute Monoarthritis

  • Urgent synovial fluid examination mandatory for:
  • I. Culture & sensitivity: Pathogens (Gram & ZN staining & bacterial culture)
  • 2. Crystals (polarised light microscopy)
  • 3. White Cell count

​

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High value care (HVC) RECOMMENDATION

Joint aspiration is usually the most effective means of diagnosing the underlying cause of acute monoarthritis.

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Case

A 22-year-old male with known�Hemophilia A

presents with:

    • Sudden right knee pain
    • Swelling over 12 hours
    • Difficulty walking

No trauma history

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Etiology of monoarthritis

Acute

Inflammatory

Non-inflammatory

Chronic

Inflammatory

Non-inflammatory

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Etiology of monoarthritis

Acute

Inflammatory

Septic

Crystal

Early rheumatic disease

Non-inflammatory

Trauma

Hemarthrosis

AVN

Chronic

Inflammatory

Chronic infectious

Fungal

Mycobacterial

Borrelia burgdorferi

Rheumatic diseasses

Non-inflammatory

OA

AVN

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Differential diagnosis of acute monoarthritis

I. Septic arthritis

2. Crystal arthropathies

3. Haemorrhagic arthropathies

4. Miscellaneous: Palendromic rheumatism, others

5.Monoarticular onset of chronic inflammatory arthritis (frequently seen in psoriatic arthritis, may occur in RA and seronegative inflammatory arthritides)

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Case

  •  A 35-year-old lady presents with medial plantar heel pain, especially with the first weight-bearing steps after rest.
  • What is the most likely diagnosis?

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The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis.

The most common diagnosis is plantar fasciitis.

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Case

  •  A 24-year-old female presents with daily medial plantar heel pain, especially with the first weight-bearing steps after rest for the last 3 months.
  • Her s. uric acid is 7.5 mg/dl (high).
  • What is the most likely diagnosis?

Not gout.

Still plantar fasciitis

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Hyperuricemia is a necessary but not sufficient precondition for the development of urate crystal deposition disease & should be distinguished from gout, the clinical syndrome.

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  • Most hyperuricemic individuals never experience a clinical event resulting from urate crystal deposition.

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2018 updated EULAR evidence-based recommendations for the diagnosis of gout

4. The diagnosis of gout should not be made on the presence of hyperuricemia alone. (2a B)

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Gout is

a clinical syndrome

having specific criteria

not a laboratory diagnosis

i.e. not hyperuricemia

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Can serum urate levels be used to diagnose gout?

Serum urate levels are elevated (>6.8 mg/dL) at some time in almost all gout patients

Serum concentrations are normal at the time of an acute flare in upto one-third (false-negative results). This may be due to interleukin (IL)-6 (uricosuric).

Many individuals may have hyperuricemia without gout (false-positive results).

Alone cannot

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Case

A 25-year-old female with SLE presents with

Fever (39°C)

Joint pains

Fatigue

How to approach diagnosis & management?

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This is straightforward. Lupus is active. Fever & joint affection are of the classification & activity criteria.

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SLEDAI-2K

Activity assessment

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Labs

CRP

+ve, 96 mg/l

WBC

12.000

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Red Flags for Infection

Very high fever

Neutrophilia

CRP very high

On steroids/immunosuppressants

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But with no shift to the left

But steroids can cause neutrophilia.

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Educational Message

    • Wrong management

Wrong diagnosis=

    • fever = infection first, then consider flare.

In rheumatology patients,

    • May cause a catastrophe
    • By flaring infection

As increasing immunosuppressives to control flare

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Shift to the left

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CASE: Acute Shortness of Breath in SLE

A 30-year-old woman with SLE

    • Sudden dyspnea
    • Chest pain

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Causes of dyspnea in SLE?

What causes dyspnea in SLE patients?

  • Lupus pneumonitis
  • Pleural effusion
  • Shrinking lung syndrome

No. Causes of dyspnea in SLE patient

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Causes of dyspnea in SLE patient

SLE-specific causes

Pulmonary affection

Lupus pneumonitis

Pleural effusion

Shrinking lung syndrome

Cardiac affection

myocarditis

SLE-non-specific

Infection

Pulmonary embolism (PE)

Others

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Further history

She gives history of right lower limb DVT 1 year ago. What to ask about this DVT?

Was it provoked?

No

Exam

SaO2: 96%

BP: 110/80

RR: 22

HR: 110 bpm

T: 37.3oC

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🧪 Investigations

D-dimer

CT pulmonary angiography

What to choose?

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Well’s score for PE

Pulmonary embolism

What is next?

RT LL acute DVT

Duplex

CTPA

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Red Flags for PE

Sudden onset

Tachycardia

Risk factors (APS)

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Management

Start anticoagulation if high suspicion

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💡 Educational Message

Think as

lupus-specific causes

lupus-non-specific causes

“SLE + dyspnea =

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Don’t attribute all the symptoms to the original disease.

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CASE

A pregnant woman (28 weeks) with SLE presents with

Headache

High BP

Her urine shows

3+ protein.

What are the major considerations?

Preeclampsia

Lupus Nephritis flare

How to differentiate?

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Feature

Lupus Nephritis (LN flare)

Preeclampsia

Underlying condition

Flare of Systemic lupus erythematosus

Placental vascular disorder

Timing

Any time in pregnancy

Usually, >20 weeks gestation

Blood pressure

May be normal or elevated

Always elevated

Proteinuria

Present (may be heavy)

Present (≥300 mg/day or significant)

Urine sediment

Active (RBCs, dysmorphic RBCs, RBC casts)

Blunt/inactive (no casts) (Acellular)

Hematuria

Common

Rare

Serum creatinine

May rise

May rise

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Feature

Lupus Nephritis (LN flare)

Preeclampsia

Complement levels (C3, C4)

Usually Low (consumption)

Normal

Anti-dsDNA

Usually Elevated (active disease)

Normal

Platelets

Usually normal (↓ only if severe lupus)

May be Low (in severe disease/HELLP)

Liver enzymes

Usually normal

May be Elevated (especially in HELLP)

Uric acid

Normal or mildly ↑

Elevated

Edema

Can occur

Common

Other lupus features

Rash, arthritis, serositis

Absent

Fetal effects

Variable (depends on disease activity)

Growth restriction, placental insufficiency

Response to steroids

Improves

No effect

Definite management

Immunosuppression (e.g., steroids)

Delivery

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Management

Justification

Preeclampsia is life-threatening to mother & fetus

Treat as preeclampsia until proven otherwise

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CASE

A 30-years-old female with SLE patient on hydroxychloroquine, prednisolone & methotrexate presented with

    • Oral ulcers
    • Low WBC

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The oral lesions are atypical.

This is oral mucositis mostly MTX toxicity.

This is lupus activity.

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Common causes of MTX toxicity

⚠️ 1. Dosing Errors (Most common cause)

Daily instead of weekly dosing

Misunderstanding prescription instructions

Elderly patients at higher risk �

  • A preventable cause by
    • patient education
    • Clear prescription

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💊 2. Drug Interactions

Medications that increase MTX levels or reduce its clearance

NSAIDs (reduce renal perfusion → ↓ MTX excretion)

Trimethoprim-sulfamethoxazole (antifolate effect → severe BM suppression)

Penicillins (↓ renal clearance)

Proton pump inhibitors (e.g., omeprazole) ↑MTX

Salicylates

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3. Renal Impairment

MTX is primarily renally excreted

Even mild renal dysfunction

    • drug accumulation

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💧 4. Dehydration

Reduces renal perfusion

Leads to increased MTX concentration

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5. Lack of Folic Acid Supplementation

MTX inhibits folate metabolism

Absence of folic acid → ↑ risk of

    • Mucositis
    • Cytopenias

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Management

Stop drug

1

Give folinic acid

2

Admit if severe

3

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🧠 GENERAL RULE (TAKE AWAYS) FOR GP & non-rheumatology specialists

Ask yourself 3 key questions

Is this disease activity?

Is this disease complication?

Is this infection?

Is this drug complication?

Is this pregnancy-related issue?

Is this other coincidental event?

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Don’t attribute all the symptoms to the original disease.

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Thank You