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Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Hands Acute Rheumatoid ... Arthritis Tender ... in rheumatoid arthritis ... Chronic Rheumatoid ... Rheumatoid nodules
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Oligoarticular (1-4 joints ... POLYARTICULAR (>4 joints ... Arthritis • Systemic ... • Psoriatic Arthritis
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... = definite RA Joint ... , +/- large joints ... BrighamMedRes #Rheumatoid ... #Arthritis #diagnosis
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
Rheumatoid Arthritis ... Rheumatoid Arthritis ... thought of as a joint ... #Rheumatoid #autoimmune ... #msk #arthritis
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... deformities, rheumatoid ... Studies • RF (rheumatoid ... RheumOnePagers #Rheumatoid ... #Arthritis #diagnosis
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... osteophytes Rheumatoid ... Arthritis: • Rheumatoid ... the PIP and MCP joints ... but not the DIP joints
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Pathogenesis and Joint ... poly-articular joint ... Joint involvement ... Peptide (aCCP), Rheumatoid
Rheumatoid arthritis (RA): X-ray features
 • Soft tissue swelling (best seen by comparing left & right
Rheumatoid arthritis ... together) • Joint ... closer to the joints ... ) • Joint Subluxations ... (Joint deformities
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... in persons with rheumatoid ... arthritis (RA) ... oxalate Infectious Arthritis
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint ... bacterial), acute rheumatic ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... differential #diagnosis #arthritis