By Ted R Mikuls;Amy Cannella;Gerald Moore;James R O'Dell;Alan R Erickson;All authors
An entire and concise creation to rheumatic disorder. It covers epidemiology, pathogenesis, prognosis and administration of every . The e-book could be precious for lately certified physicians/residents, normal practitioners, clinical scholars and different healthcare pros fascinated about the care of sufferers with rheumatic disease.
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Extra info for Rheumatology: A Color Handbook
Tophi are most commonly seen over the extensor surface of the elbow but can be observed in other locations (prepatellar bursa, outer ear, overlying small joints of the hand). Chronic deformities, including ulnar drift and palmar subluxation, along with the presence of subcutaneous nodules, can mimic RA (42–45). DIFFERENTIAL DIAGNOSIS In patients with a compatible clinical history, the differential diagnosis of acute gout includes arthritis due to infection (including gonococcal and nongonococcal arthritis), alternative crystalline athridites (most commonly pseudogout [calcium pyrophosphate dehydrate, CPPD], less commonly calcium hydroxyapatite deposition), and other rheumatic conditions that cause an inflammatory arthritis (RA, reactive arthritis [ReA], lupus, and so on).
OA is associated with trauma, but little can be predicted with respect to the degree of trauma needed and the time frame when symptoms will occur. There is a genetic predisposition, though the penetrance is incomplete. One group that does seem to be unique is erosive OA, or inflammatory OA subset. Typically this is seen in postmenopausal women and is characterized by pain, swelling, and inflammation in the interphalangeal joints of the hands. With time this inflammation subsides and the patient is left with a deformed, and rarely, an ankylosed joint.
Factors associated with increased mortality in RA include advancing age, male gender, nodules, seropositivity, greater inflammation, lower functional scores, and prednisone use. Importantly, dramatic improvements in therapies and early diagnosis have occurred in the last 15 years; therefore, the prognosis for patients diagnosed early and managed appropriately by primary care doctors in collaboration with rheumatologists, is excellent. MANAGEMENT The keys to successful management of RA are shown in Table 9.