Polyarthritis: Difference between revisions

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Revision as of 18:55, 18 April 2018

Template:DiseaseDisorder infobox

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

			Symptoms					Lab Findings				Imaging	Histopathology
Diseases			Clinical manifestations					Para-clinical findings						Gold standard	Additional findings
			Symptoms				Physical examination	Para-clinical findings
			Joint Swelling	Fever	Weight loss	Claudication		Biomarker	CBC	ESR	Other	Imaging	Histopathology
Polyarthritis	Infectious arthritis	Lyme disease
	Infectious arthritis	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

References

Template:WH Template:WS

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 {| align="center" style="border: 0px; font-size: 90%; margin: 3px;"
 ! colspan="3" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Diseases
-| colspan="7" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Clinical manifestations'''
+| colspan="5" 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="1" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Gold standard'''
@@ Line 24: / Line 24: @@
 |-
 | colspan="4" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Symptoms'''
-! colspan="3" rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Physical examination
+! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Physical examination
 |-
 ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Lab Findings
@@ Line 42: / Line 42: @@
 ! rowspan="2" |Infectious arthritis
 !Lyme disease
-!
-!
 !
 !
@@ Line 62: / Line 60: @@
 |-
 !Bacterial endocarditis
-!
-!
 !
 !
@@ Line 84: / Line 80: @@
 !Rheumatic fever
-!
-!
 !
 !
@@ Line 104: / Line 98: @@
 |-
 !Reactive arthritis
-!
-!
 !
 !
@@ Line 124: / Line 116: @@
 |-
 !Enteric infection
-!
-!
 !
 !
@@ Line 146: / Line 136: @@
 !Ankylosing spondylitis
-!
-!
 !
 !
@@ Line 166: / Line 154: @@
 |-
 !Psoriatic arthritis
-!
-!
 !
 !
@@ Line 186: / Line 172: @@
 |-
 !Inflammatory bowel disease
-!
-!
 !
 !
@@ Line 205: / Line 189: @@
 !
 |-
-! colspan="2" |'''Rheumatoid arthritis'''
+!'''Rheumatoid arthritis'''
-!
 !
 !
@@ Line 225: / Line 208: @@
 !
 |-
-! colspan="2" |'''Inflammatory osteoarthritis'''
+!'''Inflammatory osteoarthritis'''
-!
 !
 !
@@ Line 245: / Line 227: @@
 !
 |-
-! colspan="2" |'''Crystal-induced arthritis'''
+!'''Crystal-induced arthritis'''
-!
 !
 !
@@ Line 267: / Line 248: @@
 ! rowspan="8" |'''Systemic rheumatic illnesses'''
 !Systemic lupus erythematosus
-!
-!
 !
 !
@@ Line 287: / Line 266: @@
 |-
 !Systemic vasculitis
-!
-!
 !
 !
@@ Line 307: / Line 284: @@
 |-
 !Systemic sclerosis
-!
-!
 !
 !
@@ Line 327: / Line 302: @@
 |-
 !Polymyositis/dermatomyositis
-!
-!
 !
 !
@@ Line 347: / Line 320: @@
 |-
 !Still's disease
-!
-!
 !
 !
@@ Line 367: / Line 338: @@
 |-
 !Behçet's syndrome
-!
-!
 !
 !
@@ Line 387: / Line 356: @@
 |-
 !Relapsing polychondritis
-!
-!
 !
 !
@@ Line 407: / Line 374: @@
 |-
 !Autoinflammatory disorders
-!
-!
 !
 !
@@ Line 428: / Line 393: @@
 ! rowspan="5" |'''Other systemic illnesses'''
 !Sarcoidosis
-!
-!
 !
 !
@@ Line 448: / Line 411: @@
 |-
 !Palindromic rheumatism
-!
-!
 !
 !
@@ Line 468: / Line 429: @@
 |-
 !Familial Mediterranean fever
-!
-!
 !
 !
@@ Line 488: / Line 447: @@
 |-
 !Malignancy
-!
-!
 !
 !
@@ Line 508: / Line 465: @@
 |-
 !Hyperlipoproteinemias
-!
-!
 !
 !
@@ Line 530: / Line 485: @@
 ! rowspan="3" |Viral arthritis
 |'''Hepatitis B and C'''
-!
-!
 !
 !
@@ Line 550: / Line 503: @@
 |-
 |'''Rubella'''
-!
-!
 !
 !
@@ Line 570: / Line 521: @@
 |-
 |'''Parvovirus'''
-!
-!
 !
 !
@@ Line 590: / Line 539: @@
 |-
 ! colspan="2" |Fibromyalgia
-!
-!
 !
 !
@@ Line 610: / Line 557: @@
 |-
 ! colspan="2" |Soft tissue abnormalities
-!
-!
 !
 !
@@ Line 630: / Line 575: @@
 |-
 ! colspan="2" |Hypothyroidism
-!
-!
 !
 !
@@ Line 650: / Line 593: @@
 |-
 ! colspan="2" |Neuropathic pain
-!
-!
 !
 !
@@ Line 670: / Line 611: @@
 |-
 ! colspan="2" |Metabolic bone disease
-!
-!
 !
 !
@@ Line 690: / Line 629: @@
 |-
 ! colspan="2" |Depression
-!
-!
 !
 !