Autoimmune

Question 1

Dermatomyositis

Answer 1

• Systemic steroids (Prednisone)
  (First line treatment agents)
• Methotrexate
• Azathioprine, cyclophosphamide, cyclosporine
• Anti-tumor necrosis factor (TNF) a agents.
• High-dose IV immunoglobulin

Question 2

Systemic sclerosis

Answer 2

1. General measure
   -photoprotection
   - ca channel blocker (raynaud phenomenon)
   - potent topical steroid (limited skin lesion)
2. Specific
   - systemic immunosuppressive tt : methotrexate, systemic steroid , cyclophosphamide
   - phototherapy

Question 3

Scleroderma

Answer 3

1.limited
- super potent topical steroid
- intralesional steroid injection
2. Generalised, linear, pansclerotic
-systemic immunosuppresant (methotrexate, systemic steroid)
- phototherapy

Question 4

Lupus erythematosus

Answer 4

1.Photoprotection.
2. Localised discord LE
- super potent topical Corticosteroids
- intralesional c.steroid
3. Generalised DLE
- antimalarial (hydroxychloroquin, chloroquine)
-systemic steroid (prednisolone)