Rheumatology

Question 1

What is the current treatment recommendation for JIA?

Answer 1

• Methotrexate 10-15mg/m2/week as first line DMARD.

GI side effects in 12%
Liver transaminase and haematological disturbances occur and need to be monitored.

• Etanercept is a tumour necrosis factor blocker given subcutaneously which has been shown demonstrable improvements.

Question 2

What are the 11 diagnostic criteria for SLE?

Answer 2

MD SOAP BRAIN

M=malar rash
D=discoid rash

S=serositis
O=oral ulcers
A=arthritis
P=photosensitivity, pulmonary fibrosis

B=blood cells
R=renal, Raynauds
A=ANA
I=immunologic (anti-Sm, anti-dsDNA)
N=neuropsych