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Rheumatoid Arthritis (Complications (Muscle Atrophy, Joint deformity,…
Rheumatoid Arthritis
Risk Factors
Genetic Predisposition
Family Hx
First-degree relative Dx
Cigarette Smoking
T-Cell Mediated Response to Trigger
Causes
"Remains uncertain"
Aberrant Immune Response
Synovial Inflammation
Joint Destruction
Presence of Rheumatoid Factor (RF)
New Network of synovial blood vessels
Rheumatoid Synovitis
Pannus
Labs/Diagnostics
Hx
Physical Exam
Inflammation
"soft, spongy feeling"
Swelling
Tenderness
(Possible) Warmth/Loss of motion
Guarded body movements
Labs
Rheumatoid Factor (RF)
Anti-citrullinated peptide antibody (ACPA)
Collaborative Treatment
Education
Physical Rest
Therapeutic Exercise
Medications
NSAIDs
Selective COX-2 inhibitors
Disease-modifying antirheumatic drugs (DMARDs)
Hydroxychloroquine
Sulfasalazine
Methotrexate
Leflunomide
Corticosteroids
Short-term, low doses
Biologic Agents
Etanercept
Infliximab
Adalimumab
Certolizumab
Golimumab
Complications
Muscle Atrophy
Joint deformity
Contractures
Genu valgus (knock-knee)
Baker Cyst
Clinical Manifestations
Articular
"Usually Symmetric & Polyarticular"
Joint Pain/Stiffness for 30 min-hours
Knee
is most common
Early Stage
Joints in Hand/Wrist
Pain with Turning Knobs/Opening Jar
Progressive
Subluxation
Instability
Movement Limitation
Extra-Articular
Constitutional
Fatigue
Weakness
Anorexia
Weight Loss
ESR/CRP Elevation
Rheumatic nodules
Vasculitis
Ocular manifestations
Episcleritis
Scleritis
Scleromalacia
Pulmonary fibrosis
Pericarditis