Differential Diagnosis > Other > Presentations > Arthritis and a Rash

Arthritis and a Rash

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this “clinical group” overlaps with the “pathogenesis group”  of  IMMUNE COMPLEX DISEASES (and alot of these diseases have neutrophils)

 

Urticarial/Vascular lesions:

Adult Stills disease
acute rheumatic fever (e. marginatum)
Serum sickness/ Serum sickness-like
SLE
Lyme disease (e. migrans)
+/- Parvovirus B19

 

Pustules:

disseminate gonococcus
psoriatic arthritis
Reiters disease
bowel-associated dermatosis arthritis

 

Other:

Rubella - arthritis, especially the phalangeal joints in women, may last for 2-3 weeks

 

 

 

Disease:        

 

Characteristic arthritis:

psoriasis        

oligoarthritis of hands

 

rheumatoid arthritis        

symmetric; spares DIP

 

chronic gonococcemia/meningococcemia        

migratory polyarthritis

 

rheumatic fever        

migratory polyarthritis

 

Lyme

one or a few large joints (esp. knee);   more swelling than pain

 

Reiters disease

asymmetric, large joints