Classification and diagnosis of common arthritisjiu0 edited on2017-06-09 04:12:28 73 views
Classification and diagnosis of common arthritis
1. rheumatoid arthritis
Is a common acute or chronic connective tissue inflammation. It can occur repeatedly and involve the heart.
As to the clinical features of joints and muscles wandering sour, heavy, pain. Allergic diseases.
It is one of the main manifestations of rheumatic fever, with acute fever and arthralgia.
The typical manifestation is mild or moderate fever, migratory arthritis, and most of the affected joints are knee, ankle, shoulder, elbow, wrist and so on. It is usually transferred from one joint to the other,
The lesions are red, swollen, burning and painful. Some patients also have several joints at the same time.
The atypical patient has only joint pain and no other inflammatory symptoms, and acute inflammation usually subsides in 2~4 weeks,
No sequelae, but often repeated attacks. If rheumatic activity affects the heart,
There may be myocarditis, or even left heart valve disease.
2. rheumatoid arthritis
The disease is one of the most common types of chronic arthritis. Associated with genetic, bacterial and viral infections, environmental factors, including smoking.
Can occur at any age, but 40~60 year old women are more likely to see them.
(1) the morning and lasted at least 1 hours (6 weeks).
(2) 3 or more than 3 joint involvement (6 weeks).
(3) hand joint (finger joints or proximal interphalangeal joint, wrist) involvement (over 6 weeks).
(4) symmetry arthritis (6 weeks).
(5) rheumatoid subcutaneous nodules.
(6) X-ray changes of the joints of the hands (manifested as joints and their adjacent osteoporosis or obvious decalcification, narrowing of the joint space).
(7) serum rheumatoid factor was positive (titer >1:32).
Also called degenerative joint disease, osteoarthritis, more common in middle-aged and elderly people, the onset of the process is mostly slow.
The joints of the hand, knee, hip and spine are easily involved, while the metacarpophalangeal, wrist and other joints are less involved.
The condition is usually aggravated by activity or relieved by rest. The time of morning less than half an hour.
Both hands are tired examination showed Heberden and Bouchard nodules, knee joint palpable sense of friction.
There were no joint manifestations such as subcutaneous nodules and vasculitis.
Rheumatoid factor is mostly negative, a few elderly patients may have low titer positive.
published on：20170609 04:12:24 guangzhou
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