Match each clinical presentation with the most likely rheumatologic diagnosis.
- A young male patient complains of insidious-onset lower back pain that awakens him in the second half of the night but improves significantly after physical activity.Ankylosing spondylitis
- A middle-aged female patient notes the gradual development of bilateral wrist and metacarpophalangeal joint swelling, accompanied by prolonged stiffness upon waking.Rheumatoid arthritis
- A previously healthy male patient develops acute, asymmetric swelling of his right knee and left heel, along with dysuria and eye redness, shortly after a diarrheal illness.Reactive arthritis
- A patient with scaly, erythematous skin plaques develops asymmetric oligoarthritis and dactylitis of the toes, alongside noticeable pitting of the fingernails.Psoriatic arthritis
Cevap
The correct matches align each clinical vignette with its classic inflammatory arthropathy presentation: Ankylosing spondylitis (inflammatory back pain improving with exercise), Rheumatoid arthritis (symmetric polyarthritis with morning stiffness), Reactive arthritis (post-infectious triad), and Psoriatic arthritis (dactylitis and nail changes with skin plaques).
Each diagnosis represents a distinct rheumatologic condition with classic manifestations. Ankylosing spondylitis presents with inflammatory back pain. Rheumatoid arthritis presents with symmetric inflammatory polyarthritis of the hands. Reactive arthritis follows an infection with a classic triad. Psoriatic arthritis features dactylitis and nail changes alongside skin lesions.
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Anahtar Kavram
Clinical presentation and differentiation of major inflammatory arthropathies, including rheumatoid arthritis and the seronegative spondyloarthropathies.