Arthritis differential diagnosis pdf

Pdf a 60yearold male was sent to the emergency room for acuteonset right ankle pain with mild fever in the early morning. Crystalline arthritis crystalline arthritis gout and pseudogout can become chronic and even assume a polyarticular distribution. Several diseases ranging from rheumatic arthritis ra to infectious diseases can lead to polyarthritis. For the most part, the differential diagnosis of monoarthritis or oligoarthritis 24 joints differs from that for polyarthritis. My joints hurt, but my arthritis test was negative. The hallmark feature of this condition is persistent symmetric polyarthritis synovitis that affects the hands and feet, though any joint lined by a synovial membrane may be involved. Differential diagnosis of rheumatoid arthritis the american journal. While there is no cure, people are living better now with ra than ever before. Nonerosive, migratory, may resolve in a given joint in physical findings. In the diagnosis of gout, a high serum uric acid level has little diagnostic value. Differential diagnosis of polyarticular arthritis american family. I have pain all over and tested positive for lupus.

Several different diseases ranging from rheumatoid arthritis to. Arthritis can be divided into two broad categories. Diagnosis and differential diagnosis of rheumatoid. Inflammatory arthritis early stage, suspected diagnosis refer to rheumatologist for workup learn tests to order to work up for yourself sed rate, rheum factor, anti ccp antibodies, ana. Polyarthritis is a term used when at least five joints are affected with arthritis.

Problems in the diagnosis of early rheumatoid arthritis. In contrast, inflammatory arthritis generally causes warm. Rheumatoid arthritis ra is a chronic systemic inflammatory disease of unknown cause. The ccfa notes that you may experience arthralgia in different joints in the body, including the hands, knees, and ankles. Diagnosis and differential diagnosis of rheumatoid arthritis uptodate. Dont panic if you learn you have rheumatoid arthritis. Differential diagnosis and treatment article pdf available in international journal of gerontology 23 september 2008 with 2,260 reads how we measure reads. Rheumatoid arthritis ra is a symmetric, inflammatory, peripheral polyarthritis of unknown etiology. Arthritis is a common cause of pain and disability in adults. In contrast, inflammatory arthritis generally causes warm, swollen joints. The diagnosis is established by the finding of urate or calcium pyrophosphate crystals, respectively, in synovial fluids.

Osteoarthritis usually presents with less than one hour of morning stiffness and pain that is aggravated by activity and improves with rest. The differential diagnosis ranges from a benign, selflimiting illness to complex multisystem and lifethreatening diseases such as systemic lupus erythematosus and severe rheumatoid arthritis. A diagnostic approach to the common arthritic conditions. This condition can produce a rash similar to a psoriatic rash. Enteropathic arthritis arthritis of inflammatory bowel disease should also be considered, and spotted bone disease has been reported in a patient with psoriatic arthritis. The differential diagnosis also includes rheumatoid arthritis of the hands and spine. Differential diagnosis of polyarthritispolyarthralgia. Table 1 summarizes clini cal patterns that are helpful in the diagnosis of polyar ticular arthritis.