Abstract
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.
Keywords:
Arthritis; Diagnostic tests; General; Methodology; Rheumatic diseases; SLE; Vasculitis.
MeSH terms
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Antiphospholipid Syndrome / diagnosis
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Antiphospholipid Syndrome / therapy
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Arthritis, Infectious / diagnosis
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Arthritis, Infectious / therapy
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Atlanto-Axial Joint
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Clinical Decision-Making
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Critical Care / methods
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Emergencies*
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Glomerulonephritis / diagnosis
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Glomerulonephritis / therapy
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Hemorrhage / diagnosis
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Hemorrhage / therapy
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Humans
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Immunosuppressive Agents / therapeutic use
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Joint Dislocations / diagnosis
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Joint Dislocations / therapy
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Kidney Diseases / diagnosis
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Kidney Diseases / etiology
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Kidney Diseases / therapy
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Lung Diseases / diagnosis
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Lung Diseases / therapy
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Lupus Erythematosus, Systemic / congenital
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Lupus Erythematosus, Systemic / diagnosis
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Lupus Erythematosus, Systemic / therapy
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Macrophage Activation Syndrome / diagnosis
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Macrophage Activation Syndrome / therapy
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Rheumatic Diseases / diagnosis*
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Rheumatic Diseases / therapy
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Scleroderma, Systemic / complications
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Scleroderma, Systemic / diagnosis
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Scleroderma, Systemic / therapy
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Vasculitis, Central Nervous System / diagnosis
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Vasculitis, Central Nervous System / therapy
Supplementary concepts
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Neonatal Systemic lupus erythematosus
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Rapidly progressive glomerulonephritis with pulmonary hemorrhage