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Rheumatoid Arthritis

18 snips
Dec 23, 2024
Discover the intricate world of rheumatoid arthritis through a compelling clinical case study. The discussion highlights the key differences between RA and other autoimmune diseases, shedding light on accurate diagnosis. Dive into the diagnostic process and essential first steps for managing this chronic condition, including treatment options. Explore the serious consequences of poorly controlled RA, emphasizing the need for early diagnosis and patient education to avoid long-term joint damage. Valuable insights into the relevance of rheumatologists and imaging techniques are also shared.
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INSIGHT

RA Basics

  • RA primarily affects small joints symmetrically (hands, wrists, feet).
  • It can also involve larger joints and cause systemic symptoms like fatigue.
ADVICE

Distinguishing RA

  • Consider disease presentation (symmetric vs. asymmetric) to differentiate RA from similar conditions.
  • Note that psoriatic arthritis is often asymmetric and may present with dactylitis.
ADVICE

RA Diagnostic Studies

  • Order RF, CCP, ANA, ESR, and CRP tests for RA diagnosis.
  • X-rays can reveal joint space narrowing, soft tissue swelling, erosions, and joint destruction.
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