"Arthritis" and "Rheumatoid Arthritis" in Orthopedic Medicine

  • Rheumatoid arthritis is a chronic, systemic, and inflammatory Tofacitinib disease with unknown etiology. The most common irritant arthritis is rheumatoid arthritis, which affects approximately 1% of the population, which means that one in every 100 people has rheumatoid arthritis. Rheumatoid arthritis can occur at any age. Women are 2 to 3 times more likely to get the disease than men, so women have more joint pain than men.

    The current consensus is that rheumatoid arthritis is the result of a combination of genes and the environment. Autoimmune reactions, infections, genetics and other factors cause the immune system to fail. Inflammatory reactions attack the body. In layman’s terms, your body is immune. The system attacks your own organization.

    The causes of rheumatoid arthritis are complex

    Rheumatoid arthritis includes chronic inflammation of the synovium of the joints, early congestion and edema, and increased exudation of articular cartilage and late invasion of subchondral bone tissue. The most typical manifestation of rheumatoid arthritis is 銀屑病關節炎 symmetrical joint pain, swelling and stiffness.

    Joint stiffness is the most common "morning stiffness", that is, after waking up or staying in a posture for a long time, it feels that the joints are stiff, the body is tight, and it gradually returns to normal after slow movement.

    The symptoms of joint stiffness of rheumatoid arthritis appear in the finger joints and wrist joints in the early stage. As the disease progresses gradually, other upper and lower limb joints may be affected, and finally multi-joint deformities appear.

    Swollen knuckles, typical gooseneck

    If the early stage of rheumatoid arthritis is not actively treated and controlled, the extra-articular tissues may be further invaded in the later stage, and the skin (rheumatoid nodules), eyes (scleritis, keratitis, etc.), lungs (pleurisy), heart (pericarditis, pericarditis, etc.) may appear. Myocarditis) and 類風濕性關節炎 other problems, so patients suspected of rheumatoid arthritis should be actively diagnosed.

    Rheumatoid nodules at the elbow

    Rheumatoid arthritis requires a combination of medical history, physical examination, and blood tests for diagnosis. According to the 2010 classification of the American College of Rheumatology and Rheumatoid Arthritis, if:

    At least 3 joints have pain, swelling, morning stiffness, and decreased muscle strength

    Rheumatoid factor or anti-citrulline antibody positive

    Elevated C-reactive protein or erythrocyte sedimentation rate

    Excluded other diseases with similar clinical features

    Symptoms last> 6 weeks

    There is no specific treatment for rheumatoid arthritis, which can control inflammation, reduce symptoms, delay disease progression, maintain joint function, and prevent deformity.

    If you are diagnosed with rheumatoid arthritis, you should take drugs as soon as possible. Commonly used drugs include non-steroidal anti-inflammatory drugs, anti-rheumatic drugs, hormone drugs, tumor necrosis factor inhibitors and new monoclonal antibody targeting Biological agents. There are many medical treatments for rheumatoid arthritis the sooner you intervene, the better.

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