Rheumatoid Arthritis
Description of Rheumatoid Arthritis:
Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disorder that
may affect many tissues and organs, but principally attacks the joints producing
a inflammatory synovitis that often progresses to destruction of the articular
cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce
diffuse inflammation in the lungs, pericardium, pleura, and sclera, and also
nodular lesions, most common in subcutaneous tissue under the skin. Although the
cause of rheumatoid arthritis is unknown, autoimmunity plays a pivotal role in
its chronicity and progression.
About 1% of the world's population is afflicted by rheumatoid arthritis, women
three times more often than men. Onset is most frequent in 40 to 50 years, but no
age is immune. It can be a disabling and painful condition, which can lead to
substantial loss of functioning and mobility. It is diagnosed chiefly on symptoms
and signs, but also with blood tests (especially a test called rheumatoid
factor) and X-rays. Diagnosis and long-term management are typically performed
by a rheumatologist, an expert in the diseases of joints and connective tissues.
Various treatments are available. Non-pharmacological treatment includes
physical therapy and occupational therapy. Analgesia (painkillers) and anti-inflammatory
drugs, as well as steroids, are used to suppress the symptoms, while disease-modifying
antirheumatic drugs (DMARDs) are often required to inhibit or halt the
underlying immune process and prevent long-term damage. In recent times, the
newer group of biologics has increased treatment options.
The name is based on the term "rheumatic fever", an illness which includes
joint pain and is derived from the Greek word rheumatos ("flowing"). The suffix
-oid ("resembling") gives the translation as joint inflammation that resembles
rheumatic fever. The first recognized description of rheumatoid arthritis was
made in 1800 by Dr Augustin Jacob Landré-Beauvais (1772-1840) of Paris.
Specific Rheumatoid Arthritis Information
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