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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Skin Diseases and Disorders01:23

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Reticular Dermis01:15

Reticular Dermis

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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
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126

Annular dermatoses with rheumatologic implications.

Giovanni Paolino1, Franco Rongioletti1

  • 1IRCCS Ospedale San Raffaele, Milan, Italy; Università Vita-Salute San Raffaele, Milan, Italy.

Clinics in Dermatology
|July 12, 2023
PubMed
Summary
This summary is machine-generated.

Annular skin lesions can indicate rheumatologic conditions affecting joints or connective tissues. Accurate diagnosis requires clinicopathologic correlation, patient history, systemic evaluation, and skin biopsy.

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Area of Science:

  • Dermatology
  • Rheumatology
  • Pathology

Background:

  • Cutaneous disorders frequently manifest as annular (ringlike) lesions.
  • Some annular skin diseases have rheumatologic implications, potentially involving joints or connective tissues.

Purpose of the Study:

  • To outline the diagnostic approach for annular rheumatologic skin diseases.
  • To emphasize the importance of integrating various clinical and pathological data for accurate diagnosis.

Main Methods:

  • Clinicopathologic correlation
  • Detailed patient anamnesis (medical history)
  • Evaluation of systemic symptoms
  • Laboratory and instrumental investigations
  • Cutaneous biopsy

Main Results:

  • Diagnosis relies on a comprehensive approach combining clinical findings with pathological evidence.
  • Systemic evaluation and patient history are crucial for identifying underlying rheumatologic connections.

Conclusions:

  • Annular rheumatologic skin diseases necessitate a multidisciplinary diagnostic strategy.
  • A definitive diagnosis is achievable through meticulous clinicopathologic correlation and targeted investigations.