week 3 jointinflammatorydisease - 27 agustus 2012

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INFLAMMATORY JOINT DISEASES BY DARTI WIBISONO 28/06/2022 created by darti

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Page 1: Week 3 JointInflammatoryDisease - 27 Agustus 2012

INFLAMMATORY JOINT DISEASES

BY DARTI WIBISONO

22/04/2023 created by darti

Page 2: Week 3 JointInflammatoryDisease - 27 Agustus 2012

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INFLAMMATORY JOINT DISEASES

OSTEOARTHRITIS

RHEUMATOID ARTHRITIS GOUT

SYNOVITIS BURSITIS

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Rheumatoid nodles

SYNOVITIS

created by darti

ARTHRITIS

BURSITIS

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BURSITIS

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Inflammation of Tendonitis/bursitis

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OSTEOARTHRITISDEGENERATIVE ARTHRITIS

DEGENERATIVE JOINT DISEASE

22/04/2023 created by darti

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DD

RA is a systemic disease, which means it can affect other organs in the body

GOUT is a disorder of purine metabolism.There is hyperuricemia (serum uric acid > 7 mg/dl)

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OSTEOARTHRITIS

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THE SUBCHONDRAL BONE REACTION IN OA

-SCLEROTIC -

OSTEOPOROTIC -CYSTIC

LESION

Pract.: -Ganglion

cysts-Bursitis

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• The main target tissue is the synovial membrane of joints(synovitis/polyarthritis)

• Pathology,Early

• An active chronic inflammation of the synovial membrane.

Intermediate• Destruction of cartilage by enzymatic action and

granulation tissue spreading over the articular surface (PANNUS)

Late• Severe distorted joint

RHEUMATOID ARTHRITIS

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SYNOVITIS

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PANNUS

It is an ingrowth of synovial material into a joint

created by darti22/04/2023

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RHEUMATOID NODULE

The Histological appearance :• Central area of well

demarcated fibrinoid necrosis

• Palisade of histiocytes• Well collagenised

granulation tissue

Bamboo-spine : Bony union on the priphery of

the intervertebral

disc

created by darti22/04/2023

Page 14: Week 3 JointInflammatoryDisease - 27 Agustus 2012

Giant Cell arteritis

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Temporal arteritis

An inflammatory condition affecting medium sized blood vessels that supply head,eyes

and optic nerves

Vision loss

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Giant Cell(Temporal)Arteri

tis A biopsy is recommended. 

The procedure is performed with local anesthesia.  This test allows doctors to definitively diagnose temporal arteritis.

created by darti22/04/2023

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Giant Cell Arteritis,Temporal arteritis

Granulomatous arteritisSystemic Necrotizing

Vasculitis

Obliterated

lumen

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GOUT

The arthritis of gout begins as acute inflammatory process affecting

ussually a great toe

microscopic

Urate crystsls deposited

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MUSCLE/LIGAMENT ATROPHY

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Atrophy of skeletal muscle.

There are two possible causes for the atrophy: 1) disuse 2) loss of nerve supply.

The presence of cross striations indicate that this is striated muscle and the peripheral location of the nuclei distinguishes it from cardiac muscle.

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