Rheumatoid arthritis history and symptoms: Difference between revisions
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{{Rheumatoid arthritis}} | {{Rheumatoid arthritis}} | ||
{{CMG}}; {{AE}} {{ | {{CMG}}; {{AE}} {{MKK}} | ||
==Overview== | ==Overview== | ||
Patients with [[rheumatoid arthritis]] may have a positive history of the family history of [[RA]], [[history of smoking]] and other [[autoimmune disease]]. Common symptoms of [[rheumatoid arthritis]] are [[joint pain]] involving small joints of the hands, wrist, and foot, [[joint swelling]], morning [[joint stiffness]] classically lasting for more than an hour, decreased grip strength, generalized [[aching]], and [[fatigue]], [[weight loss]], [[depression]]. Less common symptoms include [[tingling]] and [[numbness]], and [[weakness]] in the arm. | |||
==History== | ==History== | ||
==Common Symptoms== | Patients with [[rheumatoid arthritis]] may have a positive history of: | ||
*[[Joint pain]] | *[[History of smoking]] | ||
*[[Family history]] | |||
*[[Autoimmune disease]] | |||
==Symptoms== | |||
===Common Symptoms=== | |||
Common symptoms of [[rheumatoid arthritis]] include:<ref name="pmid26435495">{{cite journal |vauthors=Louati K, Berenbaum F |title=Fatigue in chronic inflammation - a link to pain pathways |journal=Arthritis Res. Ther. |volume=17 |issue= |pages=254 |date=October 2015 |pmid=26435495 |pmc=4593220 |doi=10.1186/s13075-015-0784-1 |url=}}</ref><ref name="pmid23335492">{{cite journal |vauthors=Nikolaus S, Bode C, Taal E, van de Laar MA |title=Fatigue and factors related to fatigue in rheumatoid arthritis: a systematic review |journal=Arthritis Care Res (Hoboken) |volume=65 |issue=7 |pages=1128–46 |date=July 2013 |pmid=23335492 |doi=10.1002/acr.21949 |url=}}</ref> | |||
*[[Joint pain]] involving small joints of the hands, wrist, and foot | |||
*[[Joint swelling]] | *[[Joint swelling]] | ||
*Morning [[joint stiffness]] | *Morning [[joint stiffness]] classically lasting for more than an hour | ||
* | *Decreased grip strength | ||
*[[ | *Generalized [[aching]] and [[fatigue]] | ||
*[[Weight loss]] | *[[Weight loss]] | ||
*[[ | *[[Depression]] | ||
==Less Common Symptoms== | |||
===Less Common Symptoms=== | |||
Less common symptoms of [[rheumatoid arthritis]] occur when it involves cervical spine, which leads to neurological symptoms like: | |||
*[[Tingling]] and [[numbness]] in the arm | |||
*[[Weakness]] in the arm | |||
[[Vertigo]]. Rheumatoid arthritis may have the following associations that can cause [[vertigo]]: | |||
* [[Ménière's disease]]<ref name="pmid29287768">{{cite journal | last=Caulley | first=Lisa | last2=Quimby | first2=Alexandra | last3=Karsh | first3=Jacob | last4=Ahrari | first4=Azin | last5=Tse | first5=Darren | last6=Kontorinis | first6=Georgios | title=Autoimmune arthritis in Ménière's disease: A systematic review of the literature | journal=Seminars in Arthritis and Rheumatism | volume=48 | issue=1 | date=2018 | issn=1532-866X | pmid=29287768 | doi=10.1016/j.semarthrit.2017.11.008 | pages=141–147}}</ref><ref name="pmid22053211 ">{{cite journal | last=Gazquez | first=Irene | last2=Soto-Varela | first2=Andres | last3=Aran | first3=Ismael | last4=Santos | first4=Sofia | last5=Batuecas | first5=Angel | last6=Trinidad | first6=Gabriel | last7=Perez-Garrigues | first7=Herminio | last8=Gonzalez-Oller | first8=Carlos | last9=Acosta | first9=Lourdes | last10=Lopez-Escamez | first10=Jose A. | title=High prevalence of systemic autoimmune diseases in patients with Menière's disease | journal=PloS One | volume=6 | issue=10 | date=2011 | issn=1932-6203 | pmid=22053211 | pmc=3203881 | doi=10.1371/journal.pone.0026759 | doi-access=free | page=e26759}}</ref> | |||
* "Biologic disease-modifying antirheumatic drugs"<ref name="pmid29466539">{{cite journal | last=Roberts | first=Richard A. | title=Management of Recurrent Vestibular Neuritis in a Patient Treated for Rheumatoid Arthritis | journal=American Journal of Audiology | volume=27 | issue=1 | date=2018-03-08 | issn=1558-9137 | pmid=29466539 | doi=10.1044/2017_AJA-17-0090 | pages=19–24}}</ref> This may not happen in the abscence of infection.<ref name="pmid24770796">{{cite journal | last=Toktas | first=H. | last2=Okur | first2=E. | last3=Dundar | first3=U. | last4=Dikici | first4=A. | last5=Kahveci | first5=O. K. | title=Infliximab has no apparent effect in the inner ear hearing function of patients with rheumatoid arthritis and ankylosing spondylitis | journal=Clinical Rheumatology | volume=33 | issue=10 | date=2014 | issn=1434-9949 | pmid=24770796 | doi=10.1007/s10067-014-2625-z | pages=1481–1487}}</ref> | |||
* [[Atlanto-axial joint]] instability<ref name="pmid37841539">{{cite journal | last=Subagio | first=Eko Agus | last2=Wicaksono | first2=Pandu | last3=Faris | first3=Muhammad | last4=Bajamal | first4=Abdul Hafid | last5=Abdillah | first5=Diaz Syafrie | title=Diagnosis and Prevalence (1975-2010) of Sudden Death due to Atlantoaxial Subluxation in Cervical Rheumatoid Arthritis: A Literature Review | journal=TheScientificWorldJournal | volume=2023 | date=2023 | issn=1537-744X | pmid=37841539 | pmc=10569890 | doi=10.1155/2023/6675489 | doi-access=free | page=6675489}}</ref>. | |||
* Atypical Cogan's syndrome (CS)<ref name="pmid24418297">{{cite journal | last=Kessel | first=Aharon | last2=Vadasz | first2=Zahava | last3=Toubi | first3=Elias | title=Cogan syndrome--pathogenesis, clinical variants and treatment approaches | journal=Autoimmunity Reviews | volume=13 | issue=4-5 | date=2014 | issn=1873-0183 | pmid=24418297 | doi=10.1016/j.autrev.2014.01.002 | pages=351–354}}</ref> Typical Cogan's syndrome has been improved with biologic drugs.<ref name="pmid20550723 ">{{cite journal | last=Orsoni | first=Jelka G. | last2=Laganà | first2=Bruno | last3=Rubino | first3=Pierangela | last4=Zavota | first4=Laura | last5=Bacciu | first5=Salvatore | last6=Mora | first6=Paolo | title=Rituximab ameliorated severe hearing loss in Cogan's syndrome: a case report | journal=Orphanet Journal of Rare Diseases | volume=5 | date=2010-06-16 | issn=1750-1172 | pmid=20550723 | pmc=2907322 | doi=10.1186/1750-1172-5-18 | doi-access=free | page=18}}</ref><ref name="pmid11568668 ">{{cite journal | last=Rahman | first=M. U. | last2=Poe | first2=D. S. | last3=Choi | first3=H. K. | title=Etanercept therapy for immune-mediated cochleovestibular disorders: preliminary results in a pilot study | journal=Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology | volume=22 | issue=5 | date=2001 | issn=1531-7129 | pmid=11568668 | doi=10.1097/00129492-200109000-00010 | pages=619–624}}</ref> | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Needs overview]] | |||
[[Category:Aging-associated diseases]] | [[Category:Aging-associated diseases]] | ||
[[Category:Arthritis]] | [[Category:Arthritis]] | ||
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[[Category:Diseases involving the fasciae]] | [[Category:Diseases involving the fasciae]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
{{WH}} | |||
{{WS}} | |||
Latest revision as of 23:07, 1 December 2024
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Patients with rheumatoid arthritis may have a positive history of the family history of RA, history of smoking and other autoimmune disease. Common symptoms of rheumatoid arthritis are joint pain involving small joints of the hands, wrist, and foot, joint swelling, morning joint stiffness classically lasting for more than an hour, decreased grip strength, generalized aching, and fatigue, weight loss, depression. Less common symptoms include tingling and numbness, and weakness in the arm.
History
Patients with rheumatoid arthritis may have a positive history of:
Symptoms
Common Symptoms
Common symptoms of rheumatoid arthritis include:[1][2]
- Joint pain involving small joints of the hands, wrist, and foot
- Joint swelling
- Morning joint stiffness classically lasting for more than an hour
- Decreased grip strength
- Generalized aching and fatigue
- Weight loss
- Depression
Less Common Symptoms
Less common symptoms of rheumatoid arthritis occur when it involves cervical spine, which leads to neurological symptoms like:
Vertigo. Rheumatoid arthritis may have the following associations that can cause vertigo:
- Ménière's disease[3][4]
- "Biologic disease-modifying antirheumatic drugs"[5] This may not happen in the abscence of infection.[6]
- Atlanto-axial joint instability[7].
- Atypical Cogan's syndrome (CS)[8] Typical Cogan's syndrome has been improved with biologic drugs.[9][10]
References
- ↑ Louati K, Berenbaum F (October 2015). "Fatigue in chronic inflammation - a link to pain pathways". Arthritis Res. Ther. 17: 254. doi:10.1186/s13075-015-0784-1. PMC 4593220. PMID 26435495.
- ↑ Nikolaus S, Bode C, Taal E, van de Laar MA (July 2013). "Fatigue and factors related to fatigue in rheumatoid arthritis: a systematic review". Arthritis Care Res (Hoboken). 65 (7): 1128–46. doi:10.1002/acr.21949. PMID 23335492.
- ↑ Caulley, Lisa; Quimby, Alexandra; Karsh, Jacob; Ahrari, Azin; Tse, Darren; Kontorinis, Georgios (2018). "Autoimmune arthritis in Ménière's disease: A systematic review of the literature". Seminars in Arthritis and Rheumatism. 48 (1): 141–147. doi:10.1016/j.semarthrit.2017.11.008. ISSN 1532-866X. PMID 29287768.
- ↑ Gazquez, Irene; Soto-Varela, Andres; Aran, Ismael; Santos, Sofia; Batuecas, Angel; Trinidad, Gabriel; Perez-Garrigues, Herminio; Gonzalez-Oller, Carlos; Acosta, Lourdes; Lopez-Escamez, Jose A. (2011). "High prevalence of systemic autoimmune diseases in patients with Menière's disease". PloS One. 6 (10): e26759. doi:10.1371/journal.pone.0026759. ISSN 1932-6203. PMC 3203881. PMID 22053211.
- ↑ Roberts, Richard A. (2018-03-08). "Management of Recurrent Vestibular Neuritis in a Patient Treated for Rheumatoid Arthritis". American Journal of Audiology. 27 (1): 19–24. doi:10.1044/2017_AJA-17-0090. ISSN 1558-9137. PMID 29466539.
- ↑ Toktas, H.; Okur, E.; Dundar, U.; Dikici, A.; Kahveci, O. K. (2014). "Infliximab has no apparent effect in the inner ear hearing function of patients with rheumatoid arthritis and ankylosing spondylitis". Clinical Rheumatology. 33 (10): 1481–1487. doi:10.1007/s10067-014-2625-z. ISSN 1434-9949. PMID 24770796.
- ↑ Subagio, Eko Agus; Wicaksono, Pandu; Faris, Muhammad; Bajamal, Abdul Hafid; Abdillah, Diaz Syafrie (2023). "Diagnosis and Prevalence (1975-2010) of Sudden Death due to Atlantoaxial Subluxation in Cervical Rheumatoid Arthritis: A Literature Review". TheScientificWorldJournal. 2023: 6675489. doi:10.1155/2023/6675489. ISSN 1537-744X. PMC 10569890 Check
|pmc=value (help). PMID 37841539 Check|pmid=value (help). - ↑ Kessel, Aharon; Vadasz, Zahava; Toubi, Elias (2014). "Cogan syndrome--pathogenesis, clinical variants and treatment approaches". Autoimmunity Reviews. 13 (4–5): 351–354. doi:10.1016/j.autrev.2014.01.002. ISSN 1873-0183. PMID 24418297.
- ↑ Orsoni, Jelka G.; Laganà, Bruno; Rubino, Pierangela; Zavota, Laura; Bacciu, Salvatore; Mora, Paolo (2010-06-16). "Rituximab ameliorated severe hearing loss in Cogan's syndrome: a case report". Orphanet Journal of Rare Diseases. 5: 18. doi:10.1186/1750-1172-5-18. ISSN 1750-1172. PMC 2907322. PMID 20550723.
- ↑ Rahman, M. U.; Poe, D. S.; Choi, H. K. (2001). "Etanercept therapy for immune-mediated cochleovestibular disorders: preliminary results in a pilot study". Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 22 (5): 619–624. doi:10.1097/00129492-200109000-00010. ISSN 1531-7129. PMID 11568668.