4.4 Review

Rheumatologic emergencies

Journal

CLINICAL RHEUMATOLOGY
Volume 34, Issue 12, Pages 2011-2019

Publisher

SPRINGER LONDON LTD
DOI: 10.1007/s10067-015-2994-y

Keywords

Arthritis; Diagnostic tests; General; Methodology; Rheumatic diseases; SLE; Vasculitis

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Rheumatological conditions can sometimes present as emergencies. These can occur due to the disease process or infection; contrary to what many people think, rheumatologic emergencies like a pain, rheumatic crisis, or attack gout do not compromise the patient's life. This article mentioned only true emergencies: catastrophic antiphospholipid syndrome (cAPS), kidney-lung syndrome, central nervous system (CNS) vasculitis, anti-Ro syndrome (neonatal lupus), and macrophage activation syndrome (MAS). The management of above emergencies includes critical care, immunosuppression when indicated, and use of a diagnostic flowchart as well as fast laboratory profile for making decisions. Anticoagulants have to be used in the management of antiphospholipid syndrome. A good understanding of these conditions is of paramount importance for proper management.

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