Rheumatoid arthritis late stage Rheumatoid arthritis Autoimmune disease

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Rheumatoid arthritis (late stage)

Rheumatoid arthritis (late stage)

Rheumatoid arthritis �Autoimmune disease �Common in woman 40 -60 years �Treatment - Physical therapy

Rheumatoid arthritis �Autoimmune disease �Common in woman 40 -60 years �Treatment - Physical therapy - NSAIDs, steroid (local injection or low dose) - DMARDs ex. MTX, hydroxychloroquin, sulfazalazine - Anti -TNF

Scleroderma Salt and pepper dyspigmentation and radial furrowing around the mouth

Scleroderma Salt and pepper dyspigmentation and radial furrowing around the mouth

t Salt and pepper dyspigmentation on chest Shortening of the distal portions of the

t Salt and pepper dyspigmentation on chest Shortening of the distal portions of the digits along with sclerodactyly

Scleroderma 2 กลม 1. Localized cutaneous sclerosis >> MTX, corticosteroids 2. Systemic sclerosis :

Scleroderma 2 กลม 1. Localized cutaneous sclerosis >> MTX, corticosteroids 2. Systemic sclerosis : ex. Dysphagia, pulmonary fibrosis , renal crisis >> treatment depend on manifestations Criteria : 1 major or 2 minor � 1. major criterion – proximal scleroderma (ผวแขงเหนอระดบ MCP joint ) � 2. minor criteria �a. sclerodactyly (ผวแขงเฉพาะนวมอ นวเท า( �b. digital pitting scars หรอ fat pad บรเวณปลายนว มอฝอลบ �c. bibasilar pulmonary fibrosis

Fixed drug eruption

Fixed drug eruption

Treatment �เปนการแพยาชนดไมรนแรง �ใหหยดยาทสงสยวาแพทนท �Specific treatment : corticosteroids local or oral ขนาดประมาณไม เกน 0. 5

Treatment �เปนการแพยาชนดไมรนแรง �ใหหยดยาทสงสยวาแพทนท �Specific treatment : corticosteroids local or oral ขนาดประมาณไม เกน 0. 5 มก. /กก. /วน �Supportive treatment : antihistamine, Calamine lotion, emollients , wet compression ในรายทม oozing

Spider nevi in cirrhosis

Spider nevi in cirrhosis

Chronic venous insufficiency Venous stasis dermatitis – brownish discoloration of the skin particularly in

Chronic venous insufficiency Venous stasis dermatitis – brownish discoloration of the skin particularly in the lower leg. Lipodermatosclerosis – characterized by an inverted “coke-bottle” deformity in the lower leg.

Chronic venous insufficiency Treatments for this condition: �Conservative management techniques : compression stockings, Get

Chronic venous insufficiency Treatments for this condition: �Conservative management techniques : compression stockings, Get more exercise, avoid standing or sitting for a long time �Laser treatments �Ultrasound guided chemical ablation http: //www. mnveincenter. com/treatments-procedures/ chronic-venous-insufficiency. php