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diagnosis differential erythematosus lupus management ophthalmology signs sle symptoms syndrome systemic behcet classification conjunctivitis cryofibrinogenemia disease hematology monocular painful painless
Transient Monocular Vision loss - Differential Diagnosis Ischemia - Large artery disease (atherothrombosis, embolus, dissection). -
optic neuropathy, vasculitis ... ) Retinal vein ... changes in gaze/eye ... Ocular causes - ... floaters obscuring central
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
Episcleritis Ocular ... detachment • Central ... occlusion • Central ... retinal vein occlusion ... Questions to Ask
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
gastrointestinal, and/or central ... reactions, and vaso-occlusive ... Arthralgias • Eye ... Eye -> retinopathy ... differential #diagnosis #rheumatology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... : Inflammatory eye ... disease (SVC/IVC occlusion ... Genital ulcers • Eye ... signs #symptoms #rheumatology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Clinical Features ... Systemic Lupus (SLE) General ... Weight loss (50%) Eye ... Butterfly rash, Vasculitis ... symptoms #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
pulmonary and renal ... reactions, and vaso-occlusive ... Arthralgias • Eye ... Angiitis of the Central ... Differential #Diagnosis #Rheumatology
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
precipitate in serum ... malignancies, vasculitis ... pulmonary emboli, and ocular ... thrombi including retinal ... Cryofibrinogenemia #diagnosis #rheumatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry eyes ... gland) biopsy • Ocular ... salivary ducts Clinical ... phenomenon (16%) MSK ... Sjogrens #Syndrome #Rheumatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Erythematous, macular ... Non-autoimmune rheumatologic ... , and elevated serum ... artery or vein
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