Virtual Lupus Clinic 2024: Case 4
Activity Information
The Virtual Lupus Clinic is a four-part series providing case-based learning to help non-rheumatologists recognize, refer, and manage patients with lupus in conjunction with a rheumatologist. Virtually examine four patients, each presenting with different symptoms, as described below. Decide which labs to order and build the differential diagnosis, taking into consideration lab results, patient exam, and patient and family history. Complete each case by deciding next steps for treating the patient, including appropriate referrals, if needed.
Case 4: A 49-year-old African American female who presents with oral and nasal ulcers, arthritis and fatigue.
Target Audience
Non-rheumatologist physicians, physician assistants, and nurse practitioners.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Identify classic and atypical presentations of lupus, focusing on patient history, signs, symptoms, and physical examination findings
- Identify and interpret lab studies typically utilized in a new patient workup sent when evaluating a new patient with lupus
- Recognize signs and symptoms that may indicate a lupus flare
- Use high-yield lupus-specific questions and physical examination findings to help identify if a patient is in an active lupus flare and how to initiate appropriate flare treatment while awaiting a rheumatology referral
- Provide counseling and anticipatory guidance for patients in whom lupus is suspected and an initial referral to rheumatology is made
Registration Information
Registration is complimentary.
CME Information
Accreditation Statement
The American College of Rheumatology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement
The ACR designates this online activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activities.
MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to receive 1.00 MOC points for Case 4. If it is the one with all four cases bundled, then a participant can earn up to 4.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
By completing this activity you provide the ACR permission to share completion data with the ACCME and the certifying board(s).
Faculty and Disclosures
ACR Disclosure Statement
The ACR is an independent, professional organization that does not endorse specific procedures or products of any pharmaceutical/biotech concern. Educational activities provided by the ACR must demonstrate balance, independence, and scientific rigor. All those in a position to control the content of an activity must disclose all relevant financial relationship(s) with commercial interest(s). For this educational activity, all conflicts of interest have been resolved through peer review and revisions to ensure independence, evidence base, fair balance, and absence of commercial bias.
In accordance with the ACCME Standards for
Integrity and Independence in Accredited Continuing Education, ACR has
implemented mechanisms prior to the planning and implementation of this CME
activity to identify and mitigate all relevant financial relationships for all
individuals in a position to control the content of this CME activity
Faculty participating in an ACR-sponsored activity must disclose to the editorial team and audience any financial or other relationship(s) including, but not limited to:
- Stock, stock options or bond holdings in a for-profit corporation or self-directed pension plan
- Research grants
- Employment (full or part-time)
- Ownership or partnership
- Consulting fees or other remuneration (payment)
- Non-remunerative positions of influence such as officer, board member, trustee, or public spokesperson
- Receipt of royalties
- Speakers' bureau
The faculty reported the following disclosures.
Facullty
Faculty Disclosures
- Petros Efthimiou, MD (Planner) – Springer7, Uptodate7, Pfizer5, Amgen5, Sanofi5, Kiniksa5
- M. Brad Nelson, MD, MPH (Planner) – None
- B. Anne Eberhard, MBBS (Planner) – None
- Parastoo Fazeli, MD (Planner) – None
- Schartess Culpepper Pace, MD (Planner) – None
- Nina Ramessar, MD (Planner) – GlaxoSmithKline8
- Kimberly DeQuattro, MD (Reviewer) – Kyverna Pharmaceuticals5, GlaxoSmithKline5
- Shivani Garg, MD (Reviewer) – None