Rheumatoid Arthritis

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Non-articular manifestations • Generalized lymphadenopathy • Nodules – 30% patients – external over areas of pressure – internally eg lung, heart, gallbladder – central necrosis with pallisade of fibroblasts
Non-articular manifestations • Lungs – Pleurisy – Pleural effusions (NB exudate!) – RA nodules single/multiple (Caplan syndrome if huge nodules in coal miners) – Lung fibrosis
Page 1 and 2: Rheumatoid Arthritis Dr. C. C. Viss
Page 3 and 4: Rheumatoid arthritis • Most commo
Page 5 and 6: Effects of RA • Systemic disease
Page 9 and 10: Mechanisms of joint damage • Syno
Page 12 and 13: ACR Classification Criteria (4/7)
Page 14 and 15: Articular involvement Any synovial
Page 16: Hand • MCP joints - Synovitis - U
Page 21: Elbow • Synovitis • Flexion con
Page 24: Foot •MTP - Synovitis - Subluxati
Page 27: Knee • Synovitis • Effusions
Page 31: Cervical spine • Involved in 70%
Page 34 and 35: Other joints • TMJ: reduced mouth
Page 40 and 41: Non-articular manifestations • He
Page 42: Non-articular manifestations • Sk
Page 49 and 50: Complications
Page 51: Complications • Felty syndrome -
Page 54 and 55: Special investigations
Page 56 and 57: Rheumatoid factor • Antibodies ag
Page 60 and 61: Serial X-rays of a knee in RA
Page 62 and 63: Multidisciplinary Care • Rheumato
Page 64 and 65: Medical Treatment Symptomatic: NSAI
Page 66: Treatment • Rest vs exercise •

Rheumatoid Arthritis

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