QUESTION 83. (RA)

Which of the following are the complications of Rheumatoid arthritis?

1. Peripheral entrapment neuropathies
2. Subluxation of the cervical spine at the atlanto-axial joint
3. Primary amyloidosis
4. Lymphoma

Select the correct answer using the code given below:

(a) 1, 2 and 3
(b) 2, 3 and 4
(c) 1, 3 and 4
(d) 1, 2 and 4

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ANS- (d) 1, 2 and 4

Secondary amyloidosis is complication of RA not primary.

Complications of RA:

1.Ocular involvement- keratoconjunctivitis sicca,Scleritis and peripheral ulcerative keratitis

2.Serositis -pleural or pericardial pain and breathlessness

3. Cardiac involvement -Heart block, cardiomyopathy, coronary artery occlusion and aortic regurgitation

4. Pulmonary involvement-Pulmonary fibrosis

5. Peripheral neuropathy-Entrapment neuropathies

6. Spinal cord compression & subluxation of the cervical spine at the atlanto-axial joint

7. Amyloidosis -rare complication of long-standing disease that usually presents with nephrotic syndrome.

8. Felty’s syndrome

 

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