Internal medicine department, faculty of Medicine Beni-Suef University Egypt

lupus rheumatology autoimmune proteinuria nephritis osteoporosis rheumatoid arthritis steroids bioligic therapy false positive labs rheumatoid factor gout rheumatoid renal biopsy hydroxychloroquine prednisolone gn sle hyperparathyroidism calcium colchicine anaphylaxis stridor urticaria angioedema bursitis enthesitis arthritis joint heart connective tissue diseases immunology anti-ccp polyarthritis jak inhibitors leflunomide methotrexate ra management algorithm ra 2010 classification criteri acr eular classification ra amyloid albumin still's disease fibrinogen ferritin c rective protein erythrocyte sedimentation rat esr acute phase reactants pulse steroid steroid phobia acth stimulation test steroid equivalent doses hypothalamopituitary axis addisonian crisis adrenal insufficiency steroid induced diabetes giop methylprednisolone hydrocortisone dexamethasone prednisone glucocorticoids bdmards quantiferon gold test biosimilars sarilumab rituximab tocilizumab certolizumab etanercept adalimumab golimumab tnf inhibitors negative birefringent urate stones podagra heel pain polarized microscope double contour ultrasound tophi uricosuric febuxostat allopurinol monosodium urate crystal hyperuricemia acr american college of rheumatolo ana antinuclear antibodies cost benefit anti ccp high value care recommendation hypotension itching hives food allergy peanut wheeze asthma shock anaphylactoid adrenaline epipen mastocytosis ige-mediated wao allergic septic arthritis inflammatory vs mechanical ar back pain sjogren syndrome pain analysis synovitis soft tissue rheumatism arthralgia joint pain urine protein creatinine rati albuminuria nephrotic syndrome kidney postrenal renal prerenal poststreptococcal glomerulosclerosis nephrology immune complexes ckd acute kidney injury dysmorphic rbcs urine sediment hematuria glomerulonephritis egfr parathormone parathyroid dialysis a dynamic bone disease aluminium toxicity parathyroidectomy cinacalcit calcimimetics alphacalcidol vitamin d analogues renal osteodestrophy calciphylaxis phosphate binders ckd mbd sledai lupus cerebritis npsle mmf cyclophosphamide cyclosporine malar rash oral ulcers photosensitivity mycotic aneurysm empirical antibiotics streptococcus bovis dehiscence esc guidelines emboli osler nodes janeway lesions septic emboli duke's criteria q fever fungal streptococcus viridans staphylococcus aureus native valve endocarditis prosthetic valve végétations endocarditis perioperative care vma tachycardia hypertension catecholamines metanephrins paraganglioma adrenal gland pheochromocytoma complete remission partial remission treat to target remission induction glomeulonephritis extraskeletal effects oral parentral sun exposure diet dose toxicity deficiency supplementation rickets osteomalacia vitamin d approach autoinflammatory syndrome polyserositis cases guidelines fever abdominal pain fmf emergency room allergy hae edema swelling plantar fasciitis musculoskeletal muscle dmards pain women thrombosis pregnancy loss miscarriage medicine autoantibodies antiphospholipid premature ischemic heart disease infective endocarditis libman-sacks endocarditis nonbacterial thrombotic endocarditis marrantic endocarditis verrocous endocarditis myocarditis pericarditis vessels arherosclerosis obestetric premature birth lmwh heparin noacs anticoagulation hypercoagylability ischemia dvt thrombophilia repeated abortions anticardiolipin lupus anticoagulant dysnea hrct uip nsip interstitial lung disease pleurisy shrinking lung syndrome pneumonitis pulmonary lung steroid ueda hypophysitis polyendocrinopathy thyroid endocrine