Arthritis
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Arthritis

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Arthritis Arthritis Document Transcript

  • 3/15/2009arthritis | dR.hArish rEdDyorthoarthritiscentercenter<br />Arthritis ( arthro-, joint + -itis, inflammation):<br />Arthritis is a group of conditions involving damage to the joints of the body.<br />
    • Arthritis is the leading cause of disability in people older than fifty-five years.
    • The most common form of arthritis, osteoarthritis (degenerative joint disease) is a result of trauma to the joint, infection of the joint, or age.
    • Abnormal anatomy might contribute to the early development of osteoarthritis.
    • Other arthritis forms are rheumatoid arthritis and psoriatic arthritis, autoimmune diseases in which the body attacks itself.
    • If more than 5 joints are invoved,it is known as POLYARTHRITIS.
    Eg:Rheumatoid arthritis.,GOUT,Rheumatic fever .<br />
    • If less than 5 joints are invoved,it is known as POSYARTHRITIS.
    Eg:osteoarthriis.<br />
    • All arthritides feature pain,morning stiffness,swelling.
    • Physical examination may confirm the diagnosis.
    TYPES OF ARTHRITIS:<br /> Primary forms and secondary forms.<br />
    • PRIMARY FORMS:
    Osteoarthritis<br />Rheumatoid arthritis:it is a polyarthritis.<br />Septic arthritis : is caused by joint infection.<br />Gout : is caused by deposition of uric acid crystals in the joint, causing inflammation.<br />Juvenile idiopathic arthritis<br />Still's disease<br />Ankylosing spondylitis<br />pseudogout:Uncommon form of gout caused by the formation of rhomboid crystals of calcium pyrophosphate. This gout is known as pseudogout.<br />2)Secondary to other diseases:<br /> Lupus erythematosus<br /> Henoch-Schönlein purpura<br /> Psoriatic arthritis<br /> Reactive arthritis<br /> Haemochromatosis<br /> Hepatitis<br /> Wegener's granulomatosis (and many other vasculitis syndromes)<br /> Lyme disease<br /> Familial Mediterranean fever<br /> Hyperimmunoglobulinemia D with recurrent fever<br /> TNF receptor associated periodic syndrome<br /> Inflammatory bowel disease (Including Crohn's Disease and Ulcerative Colitis).<br />Diseases that can mimic arthritis include:<br />Hypertrophic osteoarthropathy<br />Multiple myeloma: is a cancer of plasma cells.<br />Osteoporosis<br />Fifth disease (parvovirus infection): Erythema infectiosum: The name " fifth disease" derives from its historical classification as the fifth of the classical childhood skin rashes or exanthems.<br /> Bright red cheeks r seen.<br />TREATMENT:<br />lifestyle changes (including exercise and weight control)<br />medications and dietary supplements (symptomatic or targeted at the disease process causing the arthritis).<br />Arthroplasty (joint replacement surgery) may be required in eroding forms of arthritis.<br />DIAGNOSIS:<br />Blood tests and X-rays of the affected joints often are performed to make the diagnosis. Screening blood tests are indicated if certain arthritides are suspected. These might include: rheumatoid factor, antinuclear factor (ANF), extractable nuclear antigen, and specific antibodies.<br /> <br />