Pankti Mehta
Pankti Mehta

@PanktiMehta24

8 Tweets Mar 30, 2023
🤓Covering up on the missed content from #ACR22 & here's what I'm learning from the review course!
#MedTwitter
#MedEd #Rheumatology #ACRambassador
@ACRheum
🔸Sjogren's syndrome🔸
👉Look for aggravating factors like blepharitis and topical retinoid use for ocular sicca 👁️
👄oral examination
👉Reduced salivary pool
👉Loss of filiform papillae
👉Fissuring of the tongue
👉Glandular examination to rule out 👉infective sialadenitis
Ultrasound of the salivary gland is an excellent tool for evaluation! 🧑‍🔧
🔬 What's a focus score and what other diseases can be diagnosed with a minor salivary gland biopsy ??
👉Common causes of sicca !
🙂Let's move to mimics !!
#Hepatitis C
👉Involvement of submandibular gland>parotid on USG
👉pericapillary> periductal infiltration, CD8 on Bx
#HIV
👉 More in ♂️
👉 CD8 infiltration on Bx
#sarcoidosis
👉Look for other organ involvement
👉Non casseating granuloma
#IgG4 RD
👉Absent sicca symptoms
👉Classic HPE
#eosinophilic sialodochotis
👉Atopy
👉 Recurrent glandular swelling
👉 Eosinophiloa
👉 Expression of salivary mucous plugs
👉 Peripheral Eosinophilia
#MedTwitter @MedTweetorials

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