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Introduction to Autoimmune Rheumatic Disorders

By

Alana M. Nevares

, MD, The University of Vermont Medical Center

Last full review/revision Feb 2020| Content last modified Feb 2020
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Autoimmune rheumatic disorders include diverse syndromes such as

Patients who receive moderate doses of corticosteroids plus another immunosuppressive drug should usually receive prophylaxis for opportunistic infections such as Pneumocystis jirovecii (see prevention of Pneumocystis jirovecii pneumonia Prevention Pneumocystis jirovecii is a common cause of pneumonia in immunosuppressed patients, especially in those infected with human immunodeficiency virus (HIV) and in those receiving systemic corticosteroids... read more Prevention ).

Corticosteroids also the increase risk of osteoporosis.

Key Points

  • Patients with most autoimmune rheumatic disorders are at increased risk of atherosclerosis.

  • Patients who receive moderate doses of corticosteroids plus another immunosuppressive drug should usually receive prophylaxis for opportunistic infections such as Pneumocystis jirovecii.

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Herniated Nucleus Pulposus
Herniated nucleus pulposus, or herniated disk, is prolapse of an intervertebral disk through a tear in the surrounding annulus fibrosis. Symptoms of a herniated disk may mimic symptoms of an epidural abscess; therefore, distinguishing between these two conditions is part of the initial history and physical examination. During the examination, which of the following findings is most likely in a patient with an epidural abscess rather than a lumbosacral herniation?
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