Mixed Connective Tissue Disease (MCTD)

Mixed connective tissue disease (MCTD) is an autoimmune disorder that combines features of lupus, scleroderma, polymyositis, and rheumatoid arthritis. A specific antibody (anti-U1 RNP) helps confirm the diagnosis.

Table of Contents

Quick Facts

  • ICD-10: M35.1
  • Hallmark antibody: Anti-U1 RNP

Common Features

  • Raynaud's phenomenon
  • Swollen, puffy hands and fingers
  • Joint pain and arthritis
  • Muscle pain and weakness
  • Fatigue
  • Skin changes (sclerodactyly)
  • Esophageal dysfunction
  • Pulmonary involvement (interstitial lung disease, hypertension)

Diagnosis

  • High-titer anti-U1 RNP antibodies
  • Clinical features overlapping multiple connective tissue diseases
  • Specialized rheumatology evaluation

Treatment

  • NSAIDs for joint pain
  • Hydroxychloroquine
  • Corticosteroids for flares
  • Immunosuppressants for serious involvement
  • Calcium channel blockers for Raynaud's
  • Treatment of specific organ complications
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American College of Rheumatology. MCTD Patient Information.