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Arthritis, Rheumatoid (RA)

Mariya Milko, DO, MS Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Chronic systemic autoimmune inflammatory disease with symmetric polyarthritis and synovitis

  • Progressive chronic inflammation leads to large and small joint destruction, deformity, dec...

DIAGNOSIS

HISTORY

  • Symmetric polyarthritis most commonly affecting the hands and feet

  • Constitutional symptoms: fatigue, malaise, weight loss, low-grade fevers (1)[A],(2)[C]

  • Articular symptoms: tender/swol...

TREATMENT

GENERAL MEASURES

  • Goal is to achieve remission or minimize disease activity, prevent structural damage and prevent disability (4)[A].

  • Early, aggressive treatment prevents structural damage and ...

ONGOING CARE

The goals of comprehensive, interdisciplinary care are to inhibit the disease process, reduce pain, preserve joint function, and maximize quality of life. 

FOLLOW UP RECOMMENDATIONS

Encoura...

REFERENCES

1
1 Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. ...

CODES

ICD10

  • M06.9 Rheumatoid arthritis, unspecified

  • M05.60 Rheu arthritis of unsp site w involv of organs and systems

  • M05.30 Rheumatoid heart disease w rheumatoid arthritis of unsp site

  • M05.70 Rheu arthri...

CLINICAL PEARLS

  • Plain films are the initial imaging modality of choice in RA.

  • Females have more articular disease; males have more systemic manifestations.

  • Early treatment with DMARDs slows disease prog...

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