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  • Osteoarthritis: Rheumatology

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    Firman 'Ie Mhan' Riansyah
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    Rheumatology deals with several types of inflammatory and degenerative conditions affecting the joints and bones. Rheumatoid arthritis is a chronic systemic inflammatory disease characterized by symmetrical, deforming polyarthritis that predominantly affects women aged 30 and up. It spares the distal interphalangeal joints and causes acute flares over a background of moderate progression. Ankylosing spondylitis is a spondyloarthritides condition causing chronic inflammation of the spine and sacroiliac joints, with onset typically before age 30 presenting as gradual low back pain worse at night and relieved by exercise, leading to progressive loss of spinal movement. Psoriatic arthritis occurs in association with psoriasis and can present as oligoarthritis or

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    Rheumatology deals with several types of inflammatory and degenerative conditions affecting the joints and bones. Rheumatoid arthritis is a chronic systemic inflammatory disease characterized by symmetrical, deforming polyarthritis that predominantly affects women aged 30 and up. It spares the distal interphalangeal joints and causes acute flares over a background of moderate progression. Ankylosing spondylitis is a spondyloarthritides condition causing chronic inflammation of the spine and sacroiliac joints, with onset typically before age 30 presenting as gradual low back pain worse at night and relieved by exercise, leading to progressive loss of spinal movement. Psoriatic arthritis occurs in association with psoriasis and can present as oligoarthritis or

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    14 views1 page

    Osteoarthritis: Rheumatology

    Uploaded by

    Firman 'Ie Mhan' Riansyah
    Rheumatology deals with several types of inflammatory and degenerative conditions affecting the joints and bones. Rheumatoid arthritis is a chronic systemic inflammatory disease characterized by symmetrical, deforming polyarthritis that predominantly affects women aged 30 and up. It spares the distal interphalangeal joints and causes acute flares over a background of moderate progression. Ankylosing spondylitis is a spondyloarthritides condition causing chronic inflammation of the spine and sacroiliac joints, with onset typically before age 30 presenting as gradual low back pain worse at night and relieved by exercise, leading to progressive loss of spinal movement. Psoriatic arthritis occurs in association with psoriasis and can present as oligoarthritis or

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    © All Rights Reserved
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    of 1

    Rheumatology Inflammatory

    RheumatoidArthritis
    Chronic systemic inflammatory disease
    Symmetrical, deformingperipheral polyarthritis
    Higher prevalance infemales; typicallyfrom30s
    Does not affect DIP joints
    Acute flares superimposedover moderate progression
    Extra articular signs
    Nodules onelbows
    Worse inthe morning
    Spondyloarthritides / Seronegative
    Ankylosing Spondylitis
    Chronic inflammationof spine and
    sacroiliac joints
    Presentation: <30years old, gradual
    onset lowbackpain, worse at night,
    spinal morningstiffness relievedby
    exercise
    Progressive loss of spinal movement
    Enteropathic
    AssociatedwithCrohn's / UC
    Also assoicatedwithcoeliac
    Psoriatic Arthritis
    Occurs withpsoriasis, althoughcan
    present before skinchanges
    Canpresent as oligoarthritis (<5joints) or
    polyarthritis (>5joints)
    Reactive Arthritis
    Sterile arthritis typicallyaffectinglower limb
    Oftenfollows urethritis andcanpresent
    withsystemic features
    Autoimmune Systemic Lupus Erythematosus
    Systemic conditionwhere autoantibodies
    are producedagainst a variety of
    autoantigens
    Typicallywomenof childbearingage
    Relaspingandremitting
    Polyarthritis
    Septic Arthritis
    Typically monoarthritis
    Analgesia, bloodcultures, synovial fluid,
    empirical antibiotics until sensitivities
    known
    Needto treat ASAP or riskof permanent
    joint damage or septicaemia
    One or two joints, single acute episode
    Crystal Arthropathies
    Gout
    Severe joint pain, redness andswelling
    Typicallymonoarthritis, oftenthe bigtoe
    Depositionof urate crystals
    Associatedwithtrauma, surgery,
    starvation, infection, diuretics and
    alcoholism
    Treatment
    Acute: NSAIDs and colchicine
    Chronic prevention: allopurinol
    A number of acute episodes affectingone joint
    Pseudo Gout
    Similar presentationto gout
    Typically monoarthritis
    Osteoarthritis
    Commonest joint condition, more commoninwomen
    Slowprogression, mayplateauover time
    Localiseddisease
    Usuallyknee or hip
    Pain/ crepitus onmovement
    Worse at night
    Generaliseddisease
    Heberden's nodes
    Commonlyaffect DIP, thumb
    carpo-metacarpal joints andthe knee
    Classic X-rayfeatures
    Loss of joint space
    Subchondral sclerosis
    and cysts
    Marginal osteophytes
    Management
    Painrelief
    Quadriceps exercise
    Reduce weight
    Intra-articular steroidinjections
    J oint replacement
    Rheumatology.mmap - 12/10/2009 -

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