Polyarthritis: Difference between revisions
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{| align="center" style="border: 0px; font-size: 90%; margin: 3px;" | {| align="center" style="border: 0px; font-size: 90%; margin: 3px;" | ||
! colspan="3" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Diseases | ! colspan="3" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Diseases | ||
| colspan=" | | colspan="7" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Clinical manifestations''' | ||
! colspan="9" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Para-clinical findings | ! colspan="9" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Para-clinical findings | ||
| colspan="1" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Gold standard''' | | colspan="1" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Gold standard''' | ||
! rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Additional findings | ! rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Additional findings | ||
|- | |- | ||
| colspan=" | | colspan="4" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Symptoms''' | ||
! colspan="3" rowspan=" | ! colspan="3" rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Physical examination | ||
|- | |- | ||
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Lab Findings | ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Lab Findings | ||
! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Imaging | ! colspan="4" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Imaging | ||
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Histopathology | ! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Histopathology | ||
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! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" |Fever | ! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" |Fever | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Weight loss | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Weight loss | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Claudication | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Claudication | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Biomarker | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Biomarker | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CBC | ! align="center" style="background:#4479BA; color: #FFFFFF;" |CBC | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ESR | ! align="center" style="background:#4479BA; color: #FFFFFF;" |ESR | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | ||
|- | |- | ||
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! rowspan="2" |Infectious arthritis | ! rowspan="2" |Infectious arthritis | ||
!Lyme disease | !Lyme disease | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Bacterial endocarditis | !Bacterial endocarditis | ||
! | ! | ||
! | ! | ||
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!Rheumatic fever | !Rheumatic fever | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Reactive arthritis | !Reactive arthritis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Enteric infection | !Enteric infection | ||
! | ! | ||
! | ! | ||
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!Ankylosing spondylitis | !Ankylosing spondylitis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Psoriatic arthritis | !Psoriatic arthritis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Inflammatory bowel disease | !Inflammatory bowel disease | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |'''Rheumatoid arthritis''' | ! colspan="2" |'''Rheumatoid arthritis''' | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |'''Inflammatory osteoarthritis''' | ! colspan="2" |'''Inflammatory osteoarthritis''' | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |'''Crystal-induced arthritis''' | ! colspan="2" |'''Crystal-induced arthritis''' | ||
! | ! | ||
! | ! | ||
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! rowspan="8" |'''Systemic rheumatic illnesses''' | ! rowspan="8" |'''Systemic rheumatic illnesses''' | ||
!Systemic lupus erythematosus | !Systemic lupus erythematosus | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Systemic vasculitis | !Systemic vasculitis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Systemic sclerosis | !Systemic sclerosis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Polymyositis/dermatomyositis | !Polymyositis/dermatomyositis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Still's disease | !Still's disease | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Behçet's syndrome | !Behçet's syndrome | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Relapsing polychondritis | !Relapsing polychondritis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Autoinflammatory disorders | !Autoinflammatory disorders | ||
! | ! | ||
! | ! | ||
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! rowspan="5" |'''Other systemic illnesses''' | ! rowspan="5" |'''Other systemic illnesses''' | ||
!Sarcoidosis | !Sarcoidosis | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Palindromic rheumatism | !Palindromic rheumatism | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Familial Mediterranean fever | !Familial Mediterranean fever | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Malignancy | !Malignancy | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
!Hyperlipoproteinemias | !Hyperlipoproteinemias | ||
! | ! | ||
! | ! | ||
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! rowspan="3" |Viral arthritis | ! rowspan="3" |Viral arthritis | ||
|'''Hepatitis B and C''' | |'''Hepatitis B and C''' | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
|'''Rubella''' | |'''Rubella''' | ||
! | ! | ||
! | ! | ||
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|'''Parvovirus''' | |'''Parvovirus''' | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |Fibromyalgia | ! colspan="2" |Fibromyalgia | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |Soft tissue abnormalities | ! colspan="2" |Soft tissue abnormalities | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |Hypothyroidism | ! colspan="2" |Hypothyroidism | ||
! | ! | ||
! | ! | ||
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|- | |- | ||
! colspan="2" |Neuropathic pain | ! colspan="2" |Neuropathic pain | ||
! | ! | ||
! | ! | ||
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! colspan="2" |Metabolic bone disease | ! colspan="2" |Metabolic bone disease | ||
! | ! | ||
! | ! | ||
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! colspan="2" |Depression | ! colspan="2" |Depression | ||
! | ! | ||
! | ! |
Revision as of 18:45, 18 April 2018
Template:DiseaseDisorder infobox
WikiDoc Resources for Polyarthritis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Polyarthritis is any type of arthritis which involves five or more joints - an inflammation of two, three or four joints is an oligoarthritis.
Causes
Polyarthritis is most often caused by an auto-immune disorder such as Rheumatoid arthritis, Psoriatic arthritis, and Lupus erythematosus but can also be caused by infections such as Ross River Virus.
Differential Diagnosis of Polyarthritis
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | |||||||||||||||||||
Lab Findings | Imaging | Histopathology | ||||||||||||||||||
Joint Swelling | Fever | Weight loss | Claudication | Biomarker | CBC | ESR | Other | |||||||||||||
Polyarthritis | Infectious arthritis | Lyme disease | ||||||||||||||||||
Bacterial endocarditis | ||||||||||||||||||||
Postinfectious (reactive) arthritis | Rheumatic fever | |||||||||||||||||||
Reactive arthritis | ||||||||||||||||||||
Enteric infection | ||||||||||||||||||||
Other seronegative spondyloarthritides | Ankylosing spondylitis | |||||||||||||||||||
Psoriatic arthritis | ||||||||||||||||||||
Inflammatory bowel disease | ||||||||||||||||||||
Rheumatoid arthritis | ||||||||||||||||||||
Inflammatory osteoarthritis | ||||||||||||||||||||
Crystal-induced arthritis | ||||||||||||||||||||
Systemic rheumatic illnesses | Systemic lupus erythematosus | |||||||||||||||||||
Systemic vasculitis | ||||||||||||||||||||
Systemic sclerosis | ||||||||||||||||||||
Polymyositis/dermatomyositis | ||||||||||||||||||||
Still's disease | ||||||||||||||||||||
Behçet's syndrome | ||||||||||||||||||||
Relapsing polychondritis | ||||||||||||||||||||
Autoinflammatory disorders | ||||||||||||||||||||
Other systemic illnesses | Sarcoidosis | |||||||||||||||||||
Palindromic rheumatism | ||||||||||||||||||||
Familial Mediterranean fever | ||||||||||||||||||||
Malignancy | ||||||||||||||||||||
Hyperlipoproteinemias | ||||||||||||||||||||
Polyarticular pain | Viral arthritis | Hepatitis B and C | ||||||||||||||||||
Rubella | ||||||||||||||||||||
Parvovirus | ||||||||||||||||||||
Fibromyalgia | ||||||||||||||||||||
Soft tissue abnormalities | ||||||||||||||||||||
Hypothyroidism | ||||||||||||||||||||
Neuropathic pain | ||||||||||||||||||||
Metabolic bone disease | ||||||||||||||||||||
Depression |