Arthritis, Rheumatoid
Arthritis, Experimental
Arthritis, Infectious
Arthritis, Juvenile
Arthritis, Psoriatic
Arthritis, Reactive
Synovial Membrane
Joints
Synovial Fluid
Arthritis, Gouty
Rheumatoid Factor
Synovitis
Osteoarthritis
Collagen Type II
Methotrexate
Severity of Illness Index
Autoantibodies
Tumor Necrosis Factor-alpha
Rheumatic Diseases
Immunoglobulin G
Arthrography
Rheumatology
Spondylitis, Ankylosing
Sulfasalazine
Peptides, Cyclic
Autoimmune Diseases
Gold Sodium Thiomalate
Wrist Joint
Rheumatoid Nodule
Collagen
HLA-DRB1 Chains
Finger Joint
Disease Models, Animal
Treatment Outcome
Tarsal Joints
Lyme Disease
Receptors, Tumor Necrosis Factor
HLA-DR4 Antigen
HLA-DR Antigens
Cytokines
Spondylarthropathies
Foot Joints
Psoriasis
Cartilage, Articular
Ankle Joint
Inflammation
T-Lymphocytes
Interleukin-17
Edema
Freund's Adjuvant
Enzyme-Linked Immunosorbent Assay
Tenosynovitis
HLA-B27 Antigen
Biological Markers
Organogold Compounds
Drug Therapy, Combination
Hand Joints
Glucose-6-Phosphate Isomerase
Disability Evaluation
Pain
Lupus Erythematosus, Systemic
Cells, Cultured
Interleukin-6
Chronic Disease
Interleukin-1
Genetic Predisposition to Disease
Interleukin 1 Receptor Antagonist Protein
Cartilage
National Institute of Arthritis and Musculoskeletal and Skin Diseases (U.S.)
Case-Control Studies
Isoxazoles
Autoantigens
Prednisolone
Penicillamine
Borrelia burgdorferi
Immunoglobulin M
Hindlimb
Autoimmunity
Pain Measurement
Toe Joint
Follow-Up Studies
Fibroblasts
Osteoclasts
Glucocorticoids
Antibodies, Antinuclear
Antigen-Antibody Complex
C-Reactive Protein
Hand Deformities, Acquired
Mice, Knockout
Antibodies, Monoclonal, Humanized
Lymphocyte Activation
Antibodies
Immunosuppressive Agents
Cohort Studies
Matrix Metalloproteinase 3
Interleukin-1beta
Prospective Studies
Felty Syndrome
Foot
Double-Blind Method
Hand
B-Lymphocytes
Sternoclavicular Joint
Inflammation Mediators
Metatarsophalangeal Joint
Auranofin
Sjogren's Syndrome
Macrophages
Bone and Bones
Protein Tyrosine Phosphatase, Non-Receptor Type 22
Gout
Interferon-gamma
Arthritis-Encephalitis Virus, Caprine
Biological Therapy
Biological Products
Statistics, Nonparametric
RANK Ligand
Health Status
Mice, Transgenic
Neutrophils
Flow Cytometry
Genotype
RNA, Messenger
Early Diagnosis
Questionnaires
Risk Factors
Th17 Cells
Activities of Daily Living
Aurothioglucose
Disease Susceptibility
Borrelia burgdorferi Group
Sialoglycoproteins
Arthrodesis
Range of Motion, Articular
CD4-Positive T-Lymphocytes
Immunologic Factors
Immunoconjugates
Joint Prosthesis
Monocytes
Alleles
Stifle
Osteoarthritis, Knee
Reverse Transcriptase Polymerase Chain Reaction
Dose-Response Relationship, Drug
Retrospective Studies
Foot Deformities, Acquired
Antibody Formation
Interleukin-10
Prevalence
Receptors, IgG
Serum Albumin, Bovine
Matrilin Proteins
Hip Joint
Quality of Life
Antibodies, Anti-Idiotypic
Age of Onset
Polymorphism, Single Nucleotide
HLA Antigens
Immunohistochemistry
Gene Expression
Chondrocalcinosis
Matrix Metalloproteinases
Connective Tissue Diseases
Leukocytes, Mononuclear
Hand Bones
Aggrecans
Reproducibility of Results
Bursa, Synovial
The MICA-A9 triplet repeat polymorphism in the transmembrane region confers additional susceptibility to the development of psoriatic arthritis and is independent of the association of Cw*0602 in psoriasis. (1/593)
OBJECTIVE: To investigate the relative contribution of HLA antigens in the susceptibility to psoriasis and to localize additional genetic factors involved in psoriatic arthritis (PsA). METHODS: DNA from 45 patients with psoriasis, 65 with PsA, and 177 healthy control subjects was examined by polymerase chain reaction (PCR) using sequence-specific oligonucleotide probes to determine HLA-C. To examine whether MICA (class I major histocompatibility complex chain-related gene A) confers additional susceptibility, trinucleotide repeat polymorphism in the transmembrane region of the MICA gene was investigated by radioactive PCR. Further analysis of MICA was made by PCR-single-strand conformational polymorphism to determine the allelic variant corresponding to MICA transmembrane polymorphism. RESULTS: Our results reveal new findings: 1) the frequency of the Cw*0602 allele was significantly increased in both patient groups: psoriasis (corrected P [Pcorr] < 10(-5), relative risk [RR] 6.2), PsA (Pcorr < 10(-6), RR 6.3), 2) the trinucleotide repeat polymorphism MICA-A9 was present at a significantly higher frequency in PsA patients (Pcorr < 0.00035, RR 3.2), whereas a similar distribution was found in both the control and psoriasis population, 3) this polymorphism corresponds to the MICA-002 allele and was found to be overrepresented in patients with the polyarticular form (Pcorr < 0.0008, RR 9.35), 4) the increase in MICA-A9 in PsA patients is independent of linkage disequilibrium with Cw*0602, 5) this allele confers additional relative risk (RR 3.27, etiologic fraction 0.44; etiologic fraction is the proportion of disease cases among the total population that are attributable to 1 allele when the relative risk is > 1) in PsA patients who carry Cw*0602. CONCLUSION: The data obtained in this study are consistent with the polygenic inheritance of psoriasis. Cw*0602 appears to be the stronger genetic susceptibility factor for psoriasis. Independent of the HLA-C association, MICA-A9 polymorphism corresponding to the MICA-002 allele is a possible candidate gene for the development of PsA. (+info)Collagenase, cathepsin B and cathepsin L gene expression in the synovial membrane of patients with early inflammatory arthritis. (2/593)
OBJECTIVE: To examine the expression of the matrix metalloproteinase, MMP-1, and the cysteine proteases, cathepsin B (CB) and cathepsin L (CL), in the synovial membrane (SM) of patients with early inflammatory arthritis. METHODS: Samples of SM were obtained by blind needle biopsy or needle arthroscopy from inflamed knees of 28 patients with early inflammatory arthritis (mean disease duration 10.2 months, range 2 weeks-18 months). Sixteen patients had rheumatoid arthritis (RA), nine psoriatic arthritis and there was one each with ankylosing spondylitis, gout and an undifferentiated arthritis. Comparison was made with tissue from two patients with established erosive RA and three normal synovial tissue samples. In situ hybridization was performed using digoxigenin-labelled RNA probes. RESULTS: MMP-1, CB and CL were expressed in all patients with early arthritis and in established erosive RA, whereas normal synovium showed only scanty expression. The three proteases were prominent in perivascular infiltrates and endothelial cells of early arthritis tissue. MMP-1 was observed primarily in the lining layer, but was also evident in the sublining area. CB and CL were expressed to a lesser extent in the lining layer, and were present mainly in the subintima. The three proteases were not found in lymphoid aggregrates. No differences were observed between the disease categories. CONCLUSIONS: The detection of MMP-1, CB and CL in the synovium shortly after symptom onset implies that the potential for joint destruction exists at a very early stage in the disease. In addition, the perivascular and endothelial cell expression suggests a role for these proteases in mononuclear cell influx to the inflamed synovium and in angiogenesis. (+info)Clinical and laboratory manifestations of elderly onset psoriatic arthritis: a comparison with younger onset disease. (3/593)
OBJECTIVE: Although the influence of age on clinical and laboratory features has been widely demonstrated in many arthropathies, studies on elderly onset (> 60 years) psoriatic arthritis (EOPsA) are rare. This study compares manifestations at onset and two year outcome of EOPsA with those of younger onset PsA (YOPsA). PATIENTS AND METHODS: Sixty-six consecutive PsA patients with disease duration < 1 year, 16 EOPsA (> 60 years) and 50 YOPsA (< or = 60 years) were admitted to a prospective study. Clinical, laboratory, and radiographic assessment were carried out at admission and after two years. HLA class I and bone scintigraphy were also recorded. In 10 patients with EOPsA and 24 with YOPsA it was possible to obtain synovial fluid, which was subsequently analysed for local inflammatory indices, including interleukin (IL) 1 beta, IL6, and IL8. RESULTS: Presenting manifestations of EOPsA differed from YOPsA in number of active joints (mean (SD)) (12.2 (6.3) v 6.7 (4.6), p < 0.001), foot bone erosions (2.7 (1.2) v 1.1 (1.1), p < 0.001), erythrocyte sedimentation rate (64.2 (35.3) v 30.5 (30.0) mm 1st h, p < 0.001), C reactive protein (3.9 (2.0) v 1.3 (1.3) mg/dl, p < 0.001) and synovial fluid IL1 beta (8.0 (4.7) v 3.0 (3.0) pg/ml, p < 0.001) and IL6 (828.2 (492.6) v 469.3 (201.4) pg/ml, p < 0.005). No differences were found in the number of subjects with dactylitis, pitting oedema, HLA-B27, or signs of sacroiliac and sternoclavicular joint involvement at bone scintigraphy. After two years, progression was more evident in EOPsA than in YOPsA, as the number of new erosions in the hands and also the C reactive protein were higher in EOPsA patients. CONCLUSION: PsA has a more severe onset and a more destructive outcome in elderly people (onset > 60 years) than in younger subjects. This behaviour may be influenced by immune changes associated with aging, as suggested by the higher concentrations of IL1 beta and IL6 found in the synovial fluid of EOPsA than in YOPsA. (+info)Excessive paternal transmission in psoriatic arthritis. (4/593)
OBJECTIVE: The differential expression of a disease according to the sex of the disease-transmitting parent has been demonstrated in several autoimmune disorders. The purpose of the present study was to determine whether there are differences in the transmission and expression of psoriatic arthritis (PsA) that are dependent on the sex of the affected parent. METHODS: All probands (patients with PsA) were identified from among the patients attending the University of Toronto Psoriatic Arthritis Clinic. A self-reported family history of psoriasis or PsA was noted for each proband. Differences in parental and offspring transmission with respect to the proband were evaluated. In addition, the expression of PsA according to the sex of the affected parent was assessed at the time of the proband's presentation to the clinic. RESULTS: Ninety-five probands had affected parents: 62 (65%) had an affected father, and 33 (35%) had an affected mother. Thus, the proportion of paternal transmission (0.65) was significantly greater than was expected (0.5) (P = 0.001). Twelve of 74 offspring from male probands (16.2%) were affected with psoriasis or PsA, as compared with 9 of 108 offspring from female probands (8.3%) (P = 0.10). Probands whose fathers were affected had a higher frequency of skin lesions prior to arthritis (P = 0.047), an erythrocyte sedimentation rate > 15 mm/hour (P = 0.044), and a lower incidence of rheumatoid factor (P = 0.044). No differences were noted with respect to age at the onset of psoriasis or PsA, the severity of the PsA, or the frequency of HLA antigens. CONCLUSION: There appears to be excessive paternal transmission in PsA. Further clinical confirmation and elucidation of its genetic basis is warranted. (+info)A comparative quantitative morphometric study of cell apoptosis in synovial membranes in psoriatic, reactive and rheumatoid arthritis. (5/593)
OBJECTIVES: Inflammatory arthritides/synovitides such as psoriatic (PsA), reactive (ReA) and rheumatoid (RA) arthritis share numerous immunopathological features, but develop different patterns of joint involvement. To investigate whether distinctive cell apoptosis may play a role in this context, we have assessed synovial cell apoptosis in situ in PsA and ReA, and compared it with RA and 'non-inflammatory' controls. METHODS: TdT-mediated dUTP nick end-labelling (TUNEL) of DNA breaks complemented immunoperoxidase staining for CD68 or LCA as the specific cell markers. RESULTS: The proportion of apoptotic synovial lining cells was high in PsA, ReA and RA compared to values in controls (P < 0.05). No differences existed between these inflammatory arthritides in numbers or type of apoptotic lining cells. In RA, however, in contrast to PsA and ReA, apoptotic lining cells were clustered or, in a small subset of samples, were very low in number. Prominent apoptosis of inflammatory cells in the sublining in ReA has accounted for higher overall apoptotic cell numbers in synovial stroma (sublining + perivascular inflammatory cell infiltrates) in this condition than in RA or PsA (P < 0.05). CONCLUSIONS: No disease-specific pattern in the phenotype of apoptotic synovial lining cells could be suggested in any of the inflammatory arthritides studied. However, topological differences in the lining and quantitative differences in the inflammatory cell apoptosis in synovial stroma may in part explain the occurrence of the prominent synovial lining cell hyperplasia distinguishing RA from ReA and PsA. On the other hand, relatively frequent inflammatory cell apoptosis may contribute both to the downregulation of synovial inflammation and to the control of synovial lining hyperplasia in ReA. (+info)SAPHO syndrome or psoriatic arthritis? A familial case study. (6/593)
OBJECTIVE: To discuss the relationships between SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) syndrome and the group of spondylarthropathies. METHODS: Few reports of familial SAPHO have been published. We describe three children, two sisters and one brother, whose clinical and radiological presentation was in accordance with SAPHO syndrome. RESULTS: Two children developed psoriasis, and one child palmoplantar pustulosis. Both sacroiliac and sternoclavicular joints were involved in these three cases. Some features in our observations are also common to psoriatic arthritis. No association was found with HLA antigens, but a history of trauma preceding the onset of symptoms was present in all three children. CONCLUSIONS: We can consider that SAPHO is nosologically related to spondylarthropathies. Psoriatic arthritis could be the missing link between SAPHO and spondylarthropathies. It is likely that both genetic and environmental factors are involved. (+info)Chromosomal analysis of peripheral lymphocytes of patients before and after radiation synovectomy with samarium-153 particulate hydroxyapatite. (7/593)
OBJECTIVE: Radiation synovectomy may be indicated for the treatment of chronic synovitis. A number of factors may affect its current use, including availability, limited evidence for its efficacy compared to intra-articular glucocorticoid, and concerns regarding the potential long-term effects of radiation exposure, particularly in younger patients. Specific chromosome-type abnormalities in peripheral lymphocytes can be useful indicators of whole-body radiation exposure. The frequency of these aberrations has been shown to increase in patients who have had radiation synovectomy using yttrium-90 by up to five times compared to baseline levels. Samarium-153 particulate hydroxyapatite (Sm-153 PHYP) is a new radiopharmaceutical currently on trial which appears to have less extra-articular leakage than yttrium-90 compounds. The aim of this study was to identify any increase in specific chromosome-type abnormalities, using published criteria, in patients following Sm-153 PHYP synovectomy of the knee. The 10 patients (five men, five women) in whom the analyses were performed had a mean age of 47 yr (range 28-70 yr). RESULTS: There was no increase in scored chromosome-type abnormalities after Sm-153 PHYP synovectomy. CONCLUSION: This study further supports the relative safety of Sm-153 PHYP compared to other radiopharmaceuticals. (+info)Clinical, radiographic and HLA associations as markers for different patterns of psoriatic arthritis. (8/593)
OBJECTIVE: The aim of this study was to examine whether the five clinical forms of psoriatic arthritis (PsA) identified by Moll and Wright (Semin Arthritis Rheum 1973;3:55-78) could be clearly distinguished, especially as the disease evolved over time, to analyse whether radiographic features or HLA associations could define subsets with greater precision and to identify predictors of disease outcome. METHODS: Seventy-three patients (37 males and 36 females) were followed for a median time of 8 yr (range 1-16 yr). A standard clinical protocol was used to assess patients at each visit and two clinical scores. based on the joint areas involved, were defined to evaluate the mode of onset and the evolution of arthritis. X-ray films of the hands, feet and sacroiliac joints were taken and the patients were divided into two categories according to the presence or absence of erosions and an X-ray erosion score was also used. Three classification methods were used to define the different clinical subsets. HLA-A, B and DR antigens were tested by standard microlymphocytotoxicity assays. A multiple linear regression model was used in the statistical analysis. RESULTS: The five classical clinical subsets defined by Moll and Wright did not remain since distinct peripheral arthritis patterns tended to evolve over time. Only two discrete groups were identified, axial disease (AD) (sacroilitis with or without peripheral arthritis) in 29% of cases and peripheral disease (PD) without sacroilitis in 71%. AD was positively associated with the duration of arthritis (P < 0.04), presence of mutilation (P < 0.02) and the joint area score over disease evolution (JASE) (P < 0.02). There were erosions in 71% of the patients. Erosions correlated with the presence of mutilation (P < 0.007) and with the JASE (P < 0.0005). HLA-B27 was found in 43% of patients with AD, but only in 11% of PD patients (P < 0.01). No other clear HLA correlations were found. CONCLUSIONS: Despite the relatively small number of patients, this longitudinal study suggests that only two clinical subsets can be clearly defined in PsA, AD and PD; these are primarily determined on clinical grounds although HLA-B27 is strongly associated with AD. The evolution of PD pattern with time means that narrower peripheral arthritis subsets are of little clinical use. (+info)There are several symptoms of RA, including:
1. Joint pain and stiffness, especially in the hands and feet
2. Swollen and warm joints
3. Redness and tenderness in the affected areas
4. Fatigue, fever, and loss of appetite
5. Loss of range of motion in the affected joints
6. Firm bumps of tissue under the skin (rheumatoid nodules)
RA can be diagnosed through a combination of physical examination, medical history, blood tests, and imaging studies such as X-rays or ultrasound. Treatment typically involves a combination of medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs), and biologic agents. Lifestyle modifications such as exercise and physical therapy can also be helpful in managing symptoms and improving quality of life.
There is no cure for RA, but early diagnosis and aggressive treatment can help to slow the progression of the disease and reduce symptoms. With proper management, many people with RA are able to lead active and fulfilling lives.
Osteoarthritis (OA) is a degenerative condition that occurs when the cartilage that cushions the joints breaks down over time, causing the bones to rub together. It is the most common form of arthritis and typically affects older adults.
Rheumatoid arthritis (RA) is an autoimmune condition that occurs when the body's immune system attacks the lining of the joints, leading to inflammation and pain. It can affect anyone, regardless of age, and is typically seen in women.
Other types of arthritis include psoriatic arthritis, gouty arthritis, and lupus-related arthritis. Treatment for arthritis depends on the type and severity of the condition, but can include medications such as pain relievers, anti-inflammatory drugs, and disease-modifying anti-rheumatic drugs (DMARDs). Physical therapy and lifestyle changes, such as exercise and weight loss, can also be helpful. In severe cases, surgery may be necessary to repair or replace damaged joints.
Arthritis is a leading cause of disability worldwide, affecting over 50 million adults in the United States alone. It can have a significant impact on a person's quality of life, making everyday activities such as walking, dressing, and grooming difficult and painful. Early diagnosis and treatment are important to help manage symptoms and slow the progression of the disease.
These animal models allow researchers to study the underlying causes of arthritis, test new treatments and therapies, and evaluate their effectiveness in a controlled environment before moving to human clinical trials. Experimental arthritis models are used to investigate various aspects of the disease, including its pathophysiology, immunogenicity, and potential therapeutic targets.
Some common experimental arthritis models include:
1. Collagen-induced arthritis (CIA): This model is induced in mice by immunizing them with type II collagen, which leads to an autoimmune response and inflammation in the joints.
2. Rheumatoid arthritis (RA) models: These models are developed by transferring cells from RA patients into immunodeficient mice, which then develop arthritis-like symptoms.
3. Osteoarthritis (OA) models: These models are induced in animals by subjecting them to joint injury or overuse, which leads to degenerative changes in the joints and bone.
4. Psoriatic arthritis (PsA) models: These models are developed by inducing psoriasis in mice, which then develop arthritis-like symptoms.
Experimental arthritis models have contributed significantly to our understanding of the disease and have helped to identify potential therapeutic targets for the treatment of arthritis. However, it is important to note that these models are not perfect representations of human arthritis and should be used as tools to complement, rather than replace, human clinical trials.
A type of arthritis that is caused by an infection in the joint, typically bacterial or viral. The most common form of infectious arthritis is Lyme disease, which is caused by the bacterium Borrelia burgdorferi and is transmitted through the bite of an infected blacklegged tick. Other types of infectious arthritis include septic arthritis (caused by bacterial infection) and reactive arthritis (caused by a bacterial or viral infection in another part of the body).
Symptoms: Pain, swelling, redness, warmth, and limited range of motion in the affected joint. Fever may also be present.
Diagnosis: A diagnosis is made based on symptoms, physical examination, blood tests (such as a complete blood count or a polymerase chain reaction test to detect the presence of bacteria or viruses), and imaging studies (such as X-rays or ultrasound).
Treatment: Treatment typically involves antibiotics to eradicate the infection, as well as medication to manage symptoms such as pain and inflammation. In severe cases, surgery may be necessary to repair damaged tissue or joints.
There are several types of JA, including:
1. Systemic juvenile idiopathic arthritis (SJIA): A severe form of JA that affects the entire body, causing fever, rash, and swollen lymph nodes in addition to joint inflammation.
2. Polyarticular juvenile idiopathic arthritis (PJIA): A common form of JA that affects multiple joints, especially in the hands and feet.
3. Oligoarticular juvenile idiopathic arthritis (OJIA): A mild form of JA that affects only a few joints.
4. Juvenile psoriatic arthritis (JPsA): A type of JA that is associated with psoriasis, a skin condition characterized by red, scaly patches.
5. Enthesitis-related juvenile idiopathic arthritis (ER-JIA): A rare form of JA that affects the areas where tendons and ligaments attach to bones.
6. Undifferentiated arthritis: A type of JA that does not fit into any of the other categories.
The symptoms of JA can vary depending on the specific type and severity of the condition, but may include:
* Joint pain and stiffness
* Swelling and redness in the affected joints
* Fatigue and fever
* Loss of mobility and range of motion
* Difficulty walking or standing
The exact cause of JA is not known, but it is believed to involve a combination of genetic and environmental factors. There is no cure for JA, but treatment options are available to help manage symptoms and prevent long-term joint damage. These may include medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and disease-modifying anti-rheumatic drugs (DMARDs), as well as physical therapy and lifestyle modifications.
There are five types of PsA:
1. Asymptomatic psoriatic arthritis - This type of psoriatic arthritis does not cause any symptoms and is typically diagnosed during routine blood tests or imaging studies.
2. Symptomatic psoriatic arthritis - This type of psoriatic arthritis causes painful joints, stiffness, and swelling in the hands and feet.
3. Distal interphalangeal predominant psoriatic arthritis - This type of psoriatic arthritis affects the joints at the tips of the fingers and toes.
4. Polyarticular psoriatic arthritis - This type of psoriatic arthritis causes inflammation in multiple joints throughout the body, including the hands, feet, knees, elbows, and spine.
5. Sulfur-shoulder psoriatic arthritis - This type of psoriatic arthritis primarily affects the shoulders and upper back.
Symptoms of PsA may include:
1. Joint pain and stiffness
2. Swollen and warm joints
3. Redness and warmth in the affected area
4. Fatigue
5. Low-grade fever
6. Loss of range of motion
7. Skin rashes or lesions
PsA is diagnosed based on a combination of physical examination, medical history, and laboratory tests such as blood tests to check for inflammatory markers (e.g., ESR and CRP) and X-rays or imaging studies to assess joint damage. There is no cure for PsA, but various treatments can help manage symptoms, slow the progression of the disease, and improve quality of life. These may include medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and disease-modifying anti-rheumatic drugs (DMARDs) or biologic agents that target specific proteins involved in inflammation. In severe cases, surgery may be necessary to repair damaged joints or correct deformities.
It's important for people with PsA to work closely with their healthcare provider to develop a personalized treatment plan that addresses their individual needs and monitors their disease activity over time. With appropriate treatment and self-care, many people with PsA are able to manage their symptoms, maintain joint function, and lead active and fulfilling lives.
In conclusion, psoriatic arthritis (PsA) is a chronic inflammatory disease that affects both the skin and joints, causing pain, stiffness, and swelling in various parts of the body. Early diagnosis and appropriate treatment can help manage symptoms, slow the progression of the disease, and improve quality of life.
Causes:
Reactive arthritis is caused by an immune system response to an infection or inflammation in another part of the body. Common causes include bacterial infections such as chlamydia, salmonella, and Campylobacter, as well as viral infections such as HIV and hepatitis B.
Symptoms:
Symptoms of reactive arthritis typically develop within 2-4 weeks after the initial infection or inflammation. They can include:
Pain and stiffness in the affected joints, particularly in the knees, ankles, and feet
Swelling, redness, and warmth in the affected joints
Loss of range of motion and flexibility in the affected joints
Fatigue and general feeling of illness
Diagnosis:
To diagnose reactive arthritis, a healthcare provider will typically begin with a physical examination and medical history. They may also order additional tests to rule out other conditions and confirm the presence of an underlying infection or inflammation. These tests can include:
Blood tests to check for the presence of antibodies or other signs of infection
Joint fluid tests to check for the presence of bacteria or other signs of inflammation
Imaging studies such as X-rays or magnetic resonance imaging (MRI) to rule out other conditions and assess joint damage
Treatment:
The goal of treatment for reactive arthritis is to reduce inflammation, relieve pain, and improve range of motion and flexibility in the affected joints. Treatment can include:
Antibiotics to treat any underlying bacterial infections
Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation
Corticosteroids to reduce inflammation and swelling in the affected joints
Physical therapy to improve range of motion and flexibility in the affected joints
Joint aspiration to drain fluid from the affected joint and relieve pressure
In severe cases, surgery may be necessary to repair or replace damaged joints.
Gouty arthritis can cause sudden and severe pain, swelling, redness, and warmth in the affected joint, which can last for several days before subsiding. Attacks can be triggered by factors such as alcohol consumption, certain foods (like meat or seafood), stress, and certain medications.
Gouty arthritis is caused by a combination of genetic and lifestyle factors, including a diet high in purine-rich foods, obesity, alcoholism, and certain medical conditions such as hypertension or kidney disease. It can be difficult to diagnose gouty arthritis because the symptoms are similar to other forms of arthritis, but blood tests can help confirm the presence of uric acid crystals in the joint fluid.
Treatment for gouty arthritis typically involves medications to reduce inflammation and relieve pain, as well as lifestyle changes such as limiting alcohol intake and following a low-purine diet. In some cases, corticosteroids or other medications may be prescribed to help reduce inflammation and prevent future attacks.
Previous Post Definition of 'Arthritis' in the medical field.
There are several possible causes of synovitis, including:
1. Infection: Bacterial, viral, or fungal infections can cause synovitis.
2. Autoimmune disorders: Conditions such as rheumatoid arthritis, psoriatic arthritis, and gout can cause chronic synovitis.
3. Overuse injuries: Repetitive strain injuries, such as those caused by repetitive jumping or throwing, can lead to synovitis in the affected joint.
4. Trauma: A sudden injury, such as a fall or a blow to the joint, can cause acute synovitis.
Symptoms of synovitis may include:
1. Pain: Pain is the most common symptom of synovitis, and it can range from mild to severe.
2. Swelling: The affected joint or limb may become swollen and warm to the touch.
3. Limited range of motion: Synovitis can cause stiffness and limited mobility in the affected joint.
4. Redness: The affected area may become red and inflamed.
5. Fever: In some cases, synovitis may be accompanied by a fever.
Treatment for synovitis depends on the underlying cause and the severity of the condition. Conservative treatments such as rest, physical therapy, and anti-inflammatory medications are often effective in managing mild to moderate cases of synovitis. In more severe cases, surgical intervention may be necessary.
In conclusion, synovitis is a common condition that can cause pain and limited mobility in the affected joint or limb. It is important to seek medical attention if symptoms persist or worsen over time, as early diagnosis and treatment can help to prevent long-term damage and improve outcomes.
The exact cause of osteoarthritis is not known, but it is thought to be due to a combination of factors such as genetics, wear and tear on joints over time, and injuries or trauma to the joint. Osteoarthritis can affect any joint in the body, but it most commonly affects the hands, knees, hips, and spine.
The symptoms of osteoarthritis can vary depending on the severity of the condition and which joint is affected. Common symptoms include:
* Pain or tenderness in the joint
* Stiffness, especially after periods of rest or inactivity
* Limited mobility or loss of flexibility
* Grating or crackling sensations when the joint is moved
* Swelling or redness in the affected joint
* Muscle weakness or wasting
There is no cure for osteoarthritis, but there are several treatment options available to manage the symptoms and slow the progression of the disease. These include:
* Pain relief medications such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs)
* Physical therapy to improve mobility and strength
* Lifestyle modifications such as weight loss, regular exercise, and avoiding activities that exacerbate the condition
* Bracing or orthotics to support the affected joint
* Corticosteroid injections or hyaluronic acid injections to reduce inflammation and improve joint function
* Joint replacement surgery in severe cases where other treatments have failed.
Early diagnosis and treatment of osteoarthritis can help manage symptoms, slow the progression of the disease, and improve quality of life for individuals with this condition.
1. Rheumatoid arthritis (RA): An autoimmune disease that causes inflammation in the joints, leading to pain, stiffness, and swelling.
2. Osteoarthritis (OA): A degenerative condition that occurs when the cartilage in the joints wears down over time, causing pain and stiffness.
3. Psoriatic arthritis (PsA): An inflammatory disease that affects both the skin and joints, often occurring in people with psoriasis.
4. Ankylosing spondylitis (AS): A condition that causes inflammation in the spine and peripheral joints, leading to stiffness and pain.
5. Lupus: An autoimmune disease that can affect multiple systems in the body, including the joints, skin, and kidneys.
6. Juvenile idiopathic arthritis (JIA): A condition that affects children under the age of 16, causing inflammation in the joints and potentially leading to long-term complications.
7. Sjogren's syndrome: An autoimmune disorder that affects the glands that produce tears and saliva, causing dryness in the eyes and mouth.
8. Fibromyalgia: A condition characterized by widespread pain, fatigue, and sleep disturbances.
9. Gout: A type of inflammatory arthritis caused by excessive levels of uric acid in the blood, leading to sudden and severe attacks of joint pain.
10. Osteoporosis: A condition characterized by brittle bones and an increased risk of fractures, often occurring in older adults.
Rheumatic diseases can be challenging to diagnose and treat, as they often involve complex symptoms and a range of possible causes. However, with the help of rheumatology specialists and advanced diagnostic tools, it is possible to manage these conditions effectively and improve quality of life for patients.
Spondylitis, ankylosing can affect any part of the spine, but it most commonly affects the lower back (lumbar spine) and the neck (cervical spine). The condition can also affect other joints, such as the hips, shoulders, and feet.
The exact cause of spondylitis, ankylosing is not known, but it is believed to be an autoimmune disorder, meaning that the body's immune system mistakenly attacks healthy tissue in the joints. Genetics may also play a role in the development of the condition.
Symptoms of spondylitis, ankylosing can include:
* Back pain and stiffness
* Pain and swelling in the joints
* Limited mobility and flexibility
* Redness and warmth in the affected area
* Fatigue
If you suspect that you or someone you know may have spondylitis, ankylosing, it is important to seek medical attention for proper diagnosis and treatment. A healthcare professional can perform a physical examination and order imaging tests, such as X-rays or MRIs, to confirm the diagnosis and rule out other conditions.
Treatment for spondylitis, ankylosing typically involves a combination of medications and physical therapy. Medications may include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and disease-modifying anti-rheumatic drugs (DMARDs). Physical therapy can help improve mobility and flexibility, as well as strengthen the muscles supporting the affected joints.
In severe cases of spondylitis, ankylosing, surgery may be necessary to repair or replace damaged joints. In some cases, the condition may progress to the point where the joints become fused and immobile, a condition known as ankylosis.
While there is no cure for spondylitis, ankylosing, early diagnosis and appropriate treatment can help manage symptoms and slow the progression of the disease. With proper care and support, individuals with spondylitis, ankylosing can lead active and fulfilling lives.
Examples of autoimmune diseases include:
1. Rheumatoid arthritis (RA): A condition where the immune system attacks the joints, leading to inflammation, pain, and joint damage.
2. Lupus: A condition where the immune system attacks various body parts, including the skin, joints, and organs.
3. Hashimoto's thyroiditis: A condition where the immune system attacks the thyroid gland, leading to hypothyroidism.
4. Multiple sclerosis (MS): A condition where the immune system attacks the protective covering of nerve fibers in the central nervous system, leading to communication problems between the brain and the rest of the body.
5. Type 1 diabetes: A condition where the immune system attacks the insulin-producing cells in the pancreas, leading to high blood sugar levels.
6. Guillain-Barré syndrome: A condition where the immune system attacks the nerves, leading to muscle weakness and paralysis.
7. Psoriasis: A condition where the immune system attacks the skin, leading to red, scaly patches.
8. Crohn's disease and ulcerative colitis: Conditions where the immune system attacks the digestive tract, leading to inflammation and damage to the gut.
9. Sjögren's syndrome: A condition where the immune system attacks the glands that produce tears and saliva, leading to dry eyes and mouth.
10. Vasculitis: A condition where the immune system attacks the blood vessels, leading to inflammation and damage to the blood vessels.
The symptoms of autoimmune diseases vary depending on the specific disease and the organs or tissues affected. Common symptoms include fatigue, fever, joint pain, skin rashes, and swollen lymph nodes. Treatment for autoimmune diseases typically involves medication to suppress the immune system and reduce inflammation, as well as lifestyle changes such as dietary changes and stress management techniques.
Rheumatoid nodules are caused by inflammation in the body, which can lead to the formation of abnormal tissue growths. They are more common in people with severe RA and can be a sign of active disease.
Rheumatoid nodules can be diagnosed through a physical examination and imaging tests such as ultrasound or MRI. Treatment options for rheumatoid nodules include medications to reduce inflammation, corticosteroids, and surgery to remove the nodule.
It is important to seek medical attention if you notice a new nodule or if an existing nodule changes in size, shape, or color, as this can be a sign of active disease.
1) They share similarities with humans: Many animal species share similar biological and physiological characteristics with humans, making them useful for studying human diseases. For example, mice and rats are often used to study diseases such as diabetes, heart disease, and cancer because they have similar metabolic and cardiovascular systems to humans.
2) They can be genetically manipulated: Animal disease models can be genetically engineered to develop specific diseases or to model human genetic disorders. This allows researchers to study the progression of the disease and test potential treatments in a controlled environment.
3) They can be used to test drugs and therapies: Before new drugs or therapies are tested in humans, they are often first tested in animal models of disease. This allows researchers to assess the safety and efficacy of the treatment before moving on to human clinical trials.
4) They can provide insights into disease mechanisms: Studying disease models in animals can provide valuable insights into the underlying mechanisms of a particular disease. This information can then be used to develop new treatments or improve existing ones.
5) Reduces the need for human testing: Using animal disease models reduces the need for human testing, which can be time-consuming, expensive, and ethically challenging. However, it is important to note that animal models are not perfect substitutes for human subjects, and results obtained from animal studies may not always translate to humans.
6) They can be used to study infectious diseases: Animal disease models can be used to study infectious diseases such as HIV, TB, and malaria. These models allow researchers to understand how the disease is transmitted, how it progresses, and how it responds to treatment.
7) They can be used to study complex diseases: Animal disease models can be used to study complex diseases such as cancer, diabetes, and heart disease. These models allow researchers to understand the underlying mechanisms of the disease and test potential treatments.
8) They are cost-effective: Animal disease models are often less expensive than human clinical trials, making them a cost-effective way to conduct research.
9) They can be used to study drug delivery: Animal disease models can be used to study drug delivery and pharmacokinetics, which is important for developing new drugs and drug delivery systems.
10) They can be used to study aging: Animal disease models can be used to study the aging process and age-related diseases such as Alzheimer's and Parkinson's. This allows researchers to understand how aging contributes to disease and develop potential treatments.
Lyme disease is typically diagnosed based on a combination of physical symptoms, medical history, and laboratory tests. Treatment typically involves antibiotics, which can help to clear the infection and alleviate symptoms.
Prevention of Lyme disease involves protecting against tick bites by using insect repellents, wearing protective clothing when outdoors, and conducting regular tick checks. Early detection and treatment of Lyme disease can help to prevent long-term complications, such as joint inflammation and neurological problems.
In this definition, we have used technical terms such as 'bacterial infection', 'blacklegged tick', 'Borrelia burgdorferi', and 'antibiotics' to provide a more detailed understanding of the medical concept.
1. Osteoarthritis: A degenerative condition that causes the breakdown of cartilage in the joints, leading to pain, stiffness, and loss of mobility.
2. Rheumatoid arthritis: An autoimmune disease that causes inflammation in the joints, leading to pain, swelling, and deformity.
3. Gout: A condition caused by the buildup of uric acid in the joints, leading to sudden and severe attacks of pain, inflammation, and swelling.
4. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the joints and reduce friction between tendons and bones.
5. Tendinitis: Inflammation of the tendons, which connect muscles to bones.
6. Synovitis: Inflammation of the synovial membrane, a thin lining that covers the joints and lubricates them with fluid.
7. Periarthritis: Inflammation of the tissues around the joints, such as the synovial membrane, tendons, and ligaments.
8. Spondyloarthritis: A group of conditions that affect the spine and sacroiliac joints, leading to inflammation and pain in these areas.
9. Juvenile idiopathic arthritis: A condition that affects children and causes inflammation and pain in the joints.
10. Systemic lupus erythematosus: An autoimmune disease that can affect many parts of the body, including the joints.
These are just a few examples of the many types of joint diseases that exist. Each type has its own unique symptoms and causes, and they can be caused by a variety of factors such as genetics, injury, infection, or age-related wear and tear. Treatment options for joint diseases can range from medication and physical therapy to surgery, depending on the severity of the condition and its underlying cause.
The exact cause of spondylarthropathies is not known, but they are believed to be an autoimmune response, where the body's immune system mistakenly attacks healthy tissues in the joints and spine. Genetics also play a role in the development of these conditions, as they tend to run in families.
There is no cure for spondylarthropathies, but various treatments can help manage symptoms and slow down the progression of the disease. These may include medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and disease-modifying anti-rheumatic drugs (DMARDs), physical therapy, and lifestyle modifications such as regular exercise and a healthy diet. In severe cases, surgery may be necessary to repair or replace damaged joints or spine.
Early diagnosis and treatment of spondylarthropathies are important to manage symptoms and prevent long-term complications such as permanent joint damage, loss of flexibility, and reduced lung function. If you experience persistent back pain or stiffness, it is essential to consult a healthcare professional for proper evaluation and diagnosis.
Psoriasis can affect any part of the body, including the scalp, elbows, knees, and lower back. The symptoms of psoriasis can vary in severity, and the condition can have a significant impact on quality of life. In addition to physical discomfort, psoriasis can also cause emotional distress and stigma.
There is no cure for psoriasis, but there are several treatment options available, including topical creams and ointments, light therapy, and systemic medications such as biologic drugs. With proper treatment, many people with psoriasis are able to manage their symptoms and improve their quality of life.
Psoriasis is relatively common, affecting approximately 2-3% of the global population, with a higher prevalence in Caucasians than in other races. It can occur at any age, but typically starts in the late teenage years or early adulthood. Psoriasis is often associated with other health conditions, such as diabetes, heart disease, and depression.
Overall, psoriasis is a complex and multifactorial condition that requires a comprehensive approach to management, including both physical and emotional support. With appropriate treatment and self-care, people with psoriasis can lead full and active lives.
There are several key features of inflammation:
1. Increased blood flow: Blood vessels in the affected area dilate, allowing more blood to flow into the tissue and bringing with it immune cells, nutrients, and other signaling molecules.
2. Leukocyte migration: White blood cells, such as neutrophils and monocytes, migrate towards the site of inflammation in response to chemical signals.
3. Release of mediators: Inflammatory mediators, such as cytokines and chemokines, are released by immune cells and other cells in the affected tissue. These molecules help to coordinate the immune response and attract more immune cells to the site of inflammation.
4. Activation of immune cells: Immune cells, such as macrophages and T cells, become activated and start to phagocytose (engulf) pathogens or damaged tissue.
5. Increased heat production: Inflammation can cause an increase in metabolic activity in the affected tissue, leading to increased heat production.
6. Redness and swelling: Increased blood flow and leakiness of blood vessels can cause redness and swelling in the affected area.
7. Pain: Inflammation can cause pain through the activation of nociceptors (pain-sensing neurons) and the release of pro-inflammatory mediators.
Inflammation can be acute or chronic. Acute inflammation is a short-term response to injury or infection, which helps to resolve the issue quickly. Chronic inflammation is a long-term response that can cause ongoing damage and diseases such as arthritis, asthma, and cancer.
There are several types of inflammation, including:
1. Acute inflammation: A short-term response to injury or infection.
2. Chronic inflammation: A long-term response that can cause ongoing damage and diseases.
3. Autoimmune inflammation: An inappropriate immune response against the body's own tissues.
4. Allergic inflammation: An immune response to a harmless substance, such as pollen or dust mites.
5. Parasitic inflammation: An immune response to parasites, such as worms or fungi.
6. Bacterial inflammation: An immune response to bacteria.
7. Viral inflammation: An immune response to viruses.
8. Fungal inflammation: An immune response to fungi.
There are several ways to reduce inflammation, including:
1. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and disease-modifying anti-rheumatic drugs (DMARDs).
2. Lifestyle changes, such as a healthy diet, regular exercise, stress management, and getting enough sleep.
3. Alternative therapies, such as acupuncture, herbal supplements, and mind-body practices.
4. Addressing underlying conditions, such as hormonal imbalances, gut health issues, and chronic infections.
5. Using anti-inflammatory compounds found in certain foods, such as omega-3 fatty acids, turmeric, and ginger.
It's important to note that chronic inflammation can lead to a range of health problems, including:
1. Arthritis
2. Diabetes
3. Heart disease
4. Cancer
5. Alzheimer's disease
6. Parkinson's disease
7. Autoimmune disorders, such as lupus and rheumatoid arthritis.
Therefore, it's important to manage inflammation effectively to prevent these complications and improve overall health and well-being.
There are several types of edema, including:
1. Pitting edema: This type of edema occurs when the fluid accumulates in the tissues and leaves a pit or depression when it is pressed. It is commonly seen in the skin of the lower legs and feet.
2. Non-pitting edema: This type of edema does not leave a pit or depression when pressed. It is often seen in the face, hands, and arms.
3. Cytedema: This type of edema is caused by an accumulation of fluid in the tissues of the limbs, particularly in the hands and feet.
4. Edema nervorum: This type of edema affects the nerves and can cause pain, numbness, and tingling in the affected area.
5. Lymphedema: This is a condition where the lymphatic system is unable to properly drain fluid from the body, leading to swelling in the arms or legs.
Edema can be diagnosed through physical examination, medical history, and diagnostic tests such as imaging studies and blood tests. Treatment options for edema depend on the underlying cause, but may include medications, lifestyle changes, and compression garments. In some cases, surgery or other interventions may be necessary to remove excess fluid or tissue.
The symptoms of tenosynovitis can vary depending on the location of the affected tendon, but common symptoms include:
* Pain and tenderness in the affected area
* Swelling and redness in the affected area
* Stiffness and limited range of motion in the affected joint
* Difficulty moving the affected limb or joint
* Clicking or snapping sensation in the affected joint
Tenosynovitis can be caused by a variety of factors, including:
* Overuse or repetitive strain on the tendon
* Injury or trauma to the affected area
* Age-related wear and tear on the tendons
* Certain medical conditions, such as gout or rheumatoid arthritis
Treatment for tenosynovitis usually involves rest, physical therapy, and anti-inflammatory medications. In severe cases, surgery may be necessary to repair the damaged tendon. It is important to seek medical attention if symptoms persist or worsen over time, as untreated tenosynovitis can lead to chronic pain and limited mobility.
There are several different types of pain, including:
1. Acute pain: This type of pain is sudden and severe, and it usually lasts for a short period of time. It can be caused by injuries, surgery, or other forms of tissue damage.
2. Chronic pain: This type of pain persists over a long period of time, often lasting more than 3 months. It can be caused by conditions such as arthritis, fibromyalgia, or nerve damage.
3. Neuropathic pain: This type of pain results from damage to the nervous system, and it can be characterized by burning, shooting, or stabbing sensations.
4. Visceral pain: This type of pain originates in the internal organs, and it can be difficult to localize.
5. Psychogenic pain: This type of pain is caused by psychological factors such as stress, anxiety, or depression.
The medical field uses a range of methods to assess and manage pain, including:
1. Pain rating scales: These are numerical scales that patients use to rate the intensity of their pain.
2. Pain diaries: These are records that patients keep to track their pain over time.
3. Clinical interviews: Healthcare providers use these to gather information about the patient's pain experience and other relevant symptoms.
4. Physical examination: This can help healthcare providers identify any underlying causes of pain, such as injuries or inflammation.
5. Imaging studies: These can be used to visualize the body and identify any structural abnormalities that may be contributing to the patient's pain.
6. Medications: There are a wide range of medications available to treat pain, including analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants.
7. Alternative therapies: These can include acupuncture, massage, and physical therapy.
8. Interventional procedures: These are minimally invasive procedures that can be used to treat pain, such as nerve blocks and spinal cord stimulation.
It is important for healthcare providers to approach pain management with a multi-modal approach, using a combination of these methods to address the physical, emotional, and social aspects of pain. By doing so, they can help improve the patient's quality of life and reduce their suffering.
The term "systemic" refers to the fact that the disease affects multiple organ systems, including the skin, joints, kidneys, lungs, and nervous system. LES is a complex condition, and its symptoms can vary widely depending on which organs are affected. Common symptoms include fatigue, fever, joint pain, rashes, and swelling in the extremities.
There are several subtypes of LES, including:
1. Systemic lupus erythematosus (SLE): This is the most common form of the disease, and it can affect anyone, regardless of age or gender.
2. Discoid lupus erythematosus (DLE): This subtype typically affects the skin, causing a red, scaly rash that does not go away.
3. Drug-induced lupus erythematosus: This form of the disease is caused by certain medications, and it usually resolves once the medication is stopped.
4. Neonatal lupus erythematosus: This rare condition affects newborn babies of mothers with SLE, and it can cause liver and heart problems.
There is no cure for LES, but treatment options are available to manage the symptoms and prevent flares. Treatment may include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, immunosuppressive medications, and antimalarial drugs. In severe cases, hospitalization may be necessary to monitor and treat the disease.
It is important for people with LES to work closely with their healthcare providers to manage their condition and prevent complications. With proper treatment and self-care, many people with LES can lead active and fulfilling lives.
The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the World Health Organization (WHO). In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.
In this article, we will explore the definition and impact of chronic diseases, as well as strategies for managing and living with them. We will also discuss the importance of early detection and prevention, as well as the role of healthcare providers in addressing the needs of individuals with chronic diseases.
What is a Chronic Disease?
A chronic disease is a condition that lasts for an extended period of time, often affecting daily life and activities. Unlike acute diseases, which have a specific beginning and end, chronic diseases are long-term and persistent. Examples of chronic diseases include:
1. Diabetes
2. Heart disease
3. Arthritis
4. Asthma
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
7. Chronic kidney disease (CKD)
8. Hypertension
9. Osteoporosis
10. Stroke
Impact of Chronic Diseases
The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the WHO. In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.
Chronic diseases can also have a significant impact on an individual's quality of life, limiting their ability to participate in activities they enjoy and affecting their relationships with family and friends. Moreover, the financial burden of chronic diseases can lead to poverty and reduce economic productivity, thus having a broader societal impact.
Addressing Chronic Diseases
Given the significant burden of chronic diseases, it is essential that we address them effectively. This requires a multi-faceted approach that includes:
1. Lifestyle modifications: Encouraging healthy behaviors such as regular physical activity, a balanced diet, and smoking cessation can help prevent and manage chronic diseases.
2. Early detection and diagnosis: Identifying risk factors and detecting diseases early can help prevent or delay their progression.
3. Medication management: Effective medication management is crucial for controlling symptoms and slowing disease progression.
4. Multi-disciplinary care: Collaboration between healthcare providers, patients, and families is essential for managing chronic diseases.
5. Health promotion and disease prevention: Educating individuals about the risks of chronic diseases and promoting healthy behaviors can help prevent their onset.
6. Addressing social determinants of health: Social determinants such as poverty, education, and employment can have a significant impact on health outcomes. Addressing these factors is essential for reducing health disparities and improving overall health.
7. Investing in healthcare infrastructure: Investing in healthcare infrastructure, technology, and research is necessary to improve disease detection, diagnosis, and treatment.
8. Encouraging policy change: Policy changes can help create supportive environments for healthy behaviors and reduce the burden of chronic diseases.
9. Increasing public awareness: Raising public awareness about the risks and consequences of chronic diseases can help individuals make informed decisions about their health.
10. Providing support for caregivers: Chronic diseases can have a significant impact on family members and caregivers, so providing them with support is essential for improving overall health outcomes.
Conclusion
Chronic diseases are a major public health burden that affect millions of people worldwide. Addressing these diseases requires a multi-faceted approach that includes lifestyle changes, addressing social determinants of health, investing in healthcare infrastructure, encouraging policy change, increasing public awareness, and providing support for caregivers. By taking a comprehensive approach to chronic disease prevention and management, we can improve the health and well-being of individuals and communities worldwide.
Explanation: Genetic predisposition to disease is influenced by multiple factors, including the presence of inherited genetic mutations or variations, environmental factors, and lifestyle choices. The likelihood of developing a particular disease can be increased by inherited genetic mutations that affect the functioning of specific genes or biological pathways. For example, inherited mutations in the BRCA1 and BRCA2 genes increase the risk of developing breast and ovarian cancer.
The expression of genetic predisposition to disease can vary widely, and not all individuals with a genetic predisposition will develop the disease. Additionally, many factors can influence the likelihood of developing a particular disease, such as environmental exposures, lifestyle choices, and other health conditions.
Inheritance patterns: Genetic predisposition to disease can be inherited in an autosomal dominant, autosomal recessive, or multifactorial pattern, depending on the specific disease and the genetic mutations involved. Autosomal dominant inheritance means that a single copy of the mutated gene is enough to cause the disease, while autosomal recessive inheritance requires two copies of the mutated gene. Multifactorial inheritance involves multiple genes and environmental factors contributing to the development of the disease.
Examples of diseases with a known genetic predisposition:
1. Huntington's disease: An autosomal dominant disorder caused by an expansion of a CAG repeat in the Huntingtin gene, leading to progressive neurodegeneration and cognitive decline.
2. Cystic fibrosis: An autosomal recessive disorder caused by mutations in the CFTR gene, leading to respiratory and digestive problems.
3. BRCA1/2-related breast and ovarian cancer: An inherited increased risk of developing breast and ovarian cancer due to mutations in the BRCA1 or BRCA2 genes.
4. Sickle cell anemia: An autosomal recessive disorder caused by a point mutation in the HBB gene, leading to defective hemoglobin production and red blood cell sickling.
5. Type 1 diabetes: An autoimmune disease caused by a combination of genetic and environmental factors, including multiple genes in the HLA complex.
Understanding the genetic basis of disease can help with early detection, prevention, and treatment. For example, genetic testing can identify individuals who are at risk for certain diseases, allowing for earlier intervention and preventive measures. Additionally, understanding the genetic basis of a disease can inform the development of targeted therapies and personalized medicine."
Yersinia Infections are typically diagnosed through a combination of physical examination, laboratory tests such as blood cultures, and imaging studies such as X-rays or CT scans. Treatment usually involves antibiotics, which can help clear the infection and manage symptoms.
Prevention of Yersinia Infections is difficult, but good hygiene practices, proper food handling and storage, and avoiding contact with contaminated fecal matter can help reduce the risk of transmission. Vaccines are not available for Yersinia infections.
Some common symptoms of Yersiniosis include fever, abdominal pain, diarrhea, vomiting, and rash. In severe cases, Yersinia infections can cause inflammation of the joints, spleen, and liver, as well as bacteremia (the presence of bacteria in the bloodstream) and meningitis (inflammation of the lining around the brain and spinal cord).
Yersinia Infections can be transmitted through contaminated food or water, contact with infected animals or people, and from mother to child during pregnancy or childbirth. People at higher risk for Yersiniosis include young children, older adults, pregnant women, and those with weakened immune systems.
Complications of Yersinia Infections can include reactive arthritis (arthritis that develops as a result of an infection), chronic kidney disease, and osteomyelitis (inflammation of the bone). In rare cases, Yersinia infections can lead to life-threatening complications such as septicemia (blood poisoning) or meningitis.
The word "arthralgia" comes from the Greek words "arthron," meaning joint, and "algos," meaning pain. It is often used interchangeably with the term "joint pain," but arthralgia specifically refers to a type of pain that is not caused by inflammation or injury.
Arthralgia can manifest in different ways, including:
1. Aching or dull pain in one or more joints
2. Sharp or stabbing pain in one or more joints
3. Pain that worsens with movement or weight-bearing activity
4. Pain that improves with rest
5. Pain that is localized to one joint or multiple joints
6. Pain that is accompanied by stiffness or limited range of motion
7. Pain that is worse in the morning or after periods of rest
8. Pain that is triggered by certain activities or movements
The diagnosis of arthralgia typically involves a comprehensive medical history and physical examination, as well as diagnostic tests such as X-rays, blood tests, or imaging studies. Treatment for arthralgia depends on the underlying cause and may include medications, lifestyle modifications, or other interventions.
The symptoms of spondylarthritis can vary, but may include:
* Back pain that improves with exercise
* Stiffness in the neck or lower back
* Painful joints in the hips or shoulders
* Reduced range of motion in the affected joints
* Fatigue
* Loss of appetite
* Fever
* Swollen lymph nodes
The exact cause of spondylarthritis is unknown, but it is thought to be an autoimmune disorder. This means that the immune system mistakenly attacks healthy tissue in the body, leading to inflammation and joint damage.
There is no cure for spondylarthritis, but medications and lifestyle changes can help manage the symptoms. Treatment options may include:
* Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
* Corticosteroids to reduce inflammation
* Disease-modifying anti-rheumatic drugs (DMARDs) to slow the progression of the disease
* Biologic agents to target specific proteins involved in the immune response
* Physical therapy to improve range of motion and strength
* Rest and exercise to manage fatigue
Early diagnosis and treatment can help manage the symptoms of spondylarthritis and prevent long-term complications such as joint damage or spinal fusion.
Source: Medical Dictionary for the Health Professions and Nursing © Farlex 2012.
There are several factors that can contribute to bone resorption, including:
1. Hormonal changes: Hormones such as parathyroid hormone (PTH) and calcitonin can regulate bone resorption. Imbalances in these hormones can lead to excessive bone resorption.
2. Aging: As we age, our bones undergo remodeling more frequently, leading to increased bone resorption.
3. Nutrient deficiencies: Deficiencies in calcium, vitamin D, and other nutrients can impair bone health and lead to excessive bone resorption.
4. Inflammation: Chronic inflammation can increase bone resorption, leading to bone loss and weakening.
5. Genetics: Some genetic disorders can affect bone metabolism and lead to abnormal bone resorption.
6. Medications: Certain medications, such as glucocorticoids and anticonvulsants, can increase bone resorption.
7. Diseases: Conditions such as osteoporosis, Paget's disease of bone, and bone cancer can lead to abnormal bone resorption.
Bone resorption can be diagnosed through a range of tests, including:
1. Bone mineral density (BMD) testing: This test measures the density of bone in specific areas of the body. Low BMD can indicate bone loss and excessive bone resorption.
2. X-rays and imaging studies: These tests can help identify abnormal bone growth or other signs of bone resorption.
3. Blood tests: Blood tests can measure levels of certain hormones and nutrients that are involved in bone metabolism.
4. Bone biopsy: A bone biopsy can provide a direct view of the bone tissue and help diagnose conditions such as Paget's disease or bone cancer.
Treatment for bone resorption depends on the underlying cause and may include:
1. Medications: Bisphosphonates, hormone therapy, and other medications can help slow or stop bone resorption.
2. Diet and exercise: A healthy diet rich in calcium and vitamin D, along with regular exercise, can help maintain strong bones.
3. Physical therapy: In some cases, physical therapy may be recommended to improve bone strength and mobility.
4. Surgery: In severe cases of bone resorption, surgery may be necessary to repair or replace damaged bone tissue.
The symptoms of Felty syndrome can vary in severity and may include:
* Rheumatoid arthritis with joint deformity and loss of function
* Chronic lung disease, such as interstitial fibrosis or emphysema
* Enlarged lymph nodes, particularly in the neck and axillae
* Fever
* Night sweats
* Weight loss
* Fatigue
Felty syndrome is caused by an abnormal immune response that leads to inflammation in the joints, lungs, and lymph nodes. It can be associated with other autoimmune disorders, such as Sjögren's syndrome or systemic lupus erythematosus.
The diagnosis of Felty syndrome is based on a combination of clinical findings, laboratory tests, and imaging studies. Laboratory tests may include blood tests to assess for inflammatory markers, such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), as well as tests to assess joint damage and lung function. Imaging studies, such as X-rays or computed tomography (CT) scans, may be used to evaluate joint damage and lung disease.
There is no cure for Felty syndrome, but treatment can help manage the symptoms and slow the progression of the disease. Treatment options may include:
* Medications to reduce inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or disease-modifying anti-rheumatic drugs (DMARDs)
* Corticosteroids to reduce inflammation and suppress the immune system
* Immunosuppressive medications, such as methotrexate or azathioprine, to suppress the immune system and prevent joint damage
* Biologic agents, such as infliximab or etanercept, to target specific proteins involved in the immune response and reduce inflammation
* Physical therapy to maintain joint mobility and strength
* Surgery to repair or replace damaged joints, such as hip or knee replacement
It is important for individuals with Felty syndrome to work closely with their healthcare provider to develop a personalized treatment plan that addresses their specific needs and helps manage their symptoms. With appropriate treatment, many individuals with Felty syndrome are able to lead active and productive lives.
Sjögren's syndrome can affect people of all ages, but it most commonly occurs in women between the ages of 40 and 60. The exact cause of the disorder is not known, but it is believed to be an autoimmune response, meaning that the immune system mistakenly attacks the glands as if they were foreign substances.
Symptoms of Sjögren's syndrome can vary in severity and may include:
* Dry mouth (xerostomia)
* Dry eyes (dry eye syndrome)
* Fatigue
* Joint pain
* Swollen lymph nodes
* Rash
* Sores on the skin
* Numbness or tingling in the hands and feet
* Sexual dysfunction
There is no cure for Sjögren's syndrome, but various treatments can help manage the symptoms. These may include:
* Medications to stimulate saliva production
* Eye drops to moisturize the eyes
* Mouthwashes to stimulate saliva production
* Pain relief medication for joint pain
* Anti-inflammatory medication to reduce swelling
* Immunosuppressive medication to suppress the immune system
* Hormone replacement therapy (HRT) to treat hormonal imbalances.
Sjögren's syndrome can also increase the risk of developing other autoimmune disorders, such as rheumatoid arthritis or lupus. It is important for people with Sjögren's syndrome to work closely with their healthcare provider to manage their symptoms and monitor their condition over time.
Gout can be caused by several factors including genetics, diet, obesity, alcohol consumption, and certain medical conditions like high blood pressure and kidney disease. Symptoms of gout typically include sudden and severe pain, swelling, redness, and warmth in the affected joint, often accompanied by fever.
Gout is diagnosed based on physical examination, medical history, and laboratory tests such as blood tests to check uric acid levels. Treatment for gout usually involves medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and colchicine to reduce inflammation and pain. In severe cases, hospitalization may be necessary to manage the condition.
Lifestyle modifications such as maintaining a healthy diet, losing weight if overweight or obese, limiting alcohol consumption, and staying hydrated can also help manage gout. In some cases, medications to lower uric acid levels such as allopurinol may be prescribed to prevent future attacks of gout.
Gout is a chronic condition that requires ongoing management to prevent complications such as joint damage and kidney stones. With proper treatment and lifestyle modifications, most people with gout can lead active and productive lives.
There are several types of spondylitis, including:
1. Ankylosing spondylitis (AS): This is the most common form of spondylitis and primarily affects the lower back. It can cause stiffness, pain, and reduced mobility in the spine.
2. Psoriatic arthritis (PsA): This type of spondylitis affects both the joints and the spine, causing inflammation and pain. It often occurs in people with psoriasis, a skin condition that causes red, scaly patches.
3. Enteropathic spondylitis: This is a rare form of spondylitis that occurs in people with inflammatory bowel disease (IBD), such as Crohn's disease or ulcerative colitis.
4. Undifferentiated spondylitis: This type of spondylitis does not fit into any other category and may be caused by a variety of factors.
The symptoms of spondylitis can vary depending on the specific type and severity of the condition, but may include:
1. Back pain that is worse with activity and improves with rest
2. Stiffness in the back, particularly in the morning or after periods of inactivity
3. Redness and warmth in the affected area
4. Swelling in the affected joints
5. Limited range of motion in the spine
6. Fatigue
7. Loss of appetite
8. Low-grade fever
Spondylitis can be diagnosed through a combination of physical examination, medical history, and imaging tests such as X-rays or MRIs. Treatment typically involves a combination of medication and lifestyle modifications, such as exercise, physical therapy, and stress management techniques. In severe cases, surgery may be necessary to repair or replace damaged joints or tissue.
It's important to note that spondylitis is a chronic condition, meaning it cannot be cured but can be managed with ongoing treatment and lifestyle modifications. With proper management, many people with spondylitis are able to lead active and fulfilling lives.
There are different types of osteitis, including:
1. Osteitis fibrosa: A benign condition characterized by the formation of fibrous tissue in the bone, which can cause pain and stiffness.
2. Osteitis multiformis: A chronic condition that causes multiple areas of bone inflammation, often seen in patients with rheumatoid arthritis or ankylosing spondylitis.
3. Osteitis pseudogout: A condition characterized by the deposition of crystals in the bone, which can cause episodes of sudden and severe joint pain.
4. Osteitis suppurativa: A chronic condition characterized by recurring abscesses or pockets of pus in the bone, often seen in patients with a history of skin infections.
Symptoms of osteitis can include pain, swelling, redness and warmth over the affected area. Treatment options may vary depending on the underlying cause, but may include antibiotics for infection, anti-inflammatory medications, or surgical intervention to drain abscesses or remove infected tissue.
Some common types of bone diseases include:
1. Osteoporosis: A condition characterized by brittle, porous bones that are prone to fracture.
2. Osteoarthritis: A degenerative joint disease that causes pain and stiffness in the joints.
3. Rheumatoid arthritis: An autoimmune disorder that causes inflammation and pain in the joints.
4. Bone cancer: A malignant tumor that develops in the bones.
5. Paget's disease of bone: A condition characterized by abnormal bone growth and deformity.
6. Osteogenesis imperfecta: A genetic disorder that affects the formation of bone and can cause brittle bones and other skeletal deformities.
7. Fibrous dysplasia: A rare condition characterized by abnormal growth and development of bone tissue.
8. Multiple myeloma: A type of cancer that affects the plasma cells in the bone marrow.
9. Bone cysts: Fluid-filled cavities that can form in the bones and cause pain, weakness, and deformity.
10. Bone spurs: Abnormal growths of bone that can form along the edges of joints and cause pain and stiffness.
Bone diseases can be diagnosed through a variety of tests, including X-rays, CT scans, MRI scans, and bone biopsies. Treatment options vary depending on the specific disease and can include medication, surgery, or a combination of both.
There are several types of disease susceptibility, including:
1. Genetic predisposition: This refers to the inherent tendency of an individual to develop a particular disease due to their genetic makeup. For example, some families may have a higher risk of developing certain diseases such as cancer or heart disease due to inherited genetic mutations.
2. Environmental susceptibility: This refers to the increased risk of developing a disease due to exposure to environmental factors such as pollutants, toxins, or infectious agents. For example, someone who lives in an area with high levels of air pollution may be more susceptible to developing respiratory problems.
3. Lifestyle susceptibility: This refers to the increased risk of developing a disease due to unhealthy lifestyle choices such as smoking, lack of exercise, or poor diet. For example, someone who smokes and is overweight may be more susceptible to developing heart disease or lung cancer.
4. Immune system susceptibility: This refers to the increased risk of developing a disease due to an impaired immune system. For example, people with autoimmune disorders such as HIV/AIDS or rheumatoid arthritis may be more susceptible to opportunistic infections.
Understanding disease susceptibility can help healthcare providers identify individuals who are at risk of developing certain diseases and provide preventive measures or early intervention to reduce the risk of disease progression. Additionally, genetic testing can help identify individuals with a high risk of developing certain diseases, allowing for earlier diagnosis and treatment.
In summary, disease susceptibility refers to the predisposition of an individual to develop a particular disease or condition due to various factors such as genetics, environment, lifestyle choices, and immune system function. Understanding disease susceptibility can help healthcare providers identify individuals at risk and provide appropriate preventive measures or early intervention to reduce the risk of disease progression.
The risk of developing osteoarthritis of the knee increases with age, obesity, and previous knee injuries or surgery. Symptoms of knee OA can include:
* Pain and stiffness in the knee, especially after activity or extended periods of standing or sitting
* Swelling and redness in the knee
* Difficulty moving the knee through its full range of motion
* Crunching or grinding sensations when the knee is bent or straightened
* Instability or a feeling that the knee may give way
Treatment for knee OA typically includes a combination of medication, physical therapy, and lifestyle modifications. Medications such as pain relievers, anti-inflammatory drugs, and corticosteroids can help manage symptoms, while physical therapy can improve joint mobility and strength. Lifestyle modifications, such as weight loss, regular exercise, and avoiding activities that exacerbate the condition, can also help slow the progression of the disease. In severe cases, surgery may be necessary to repair or replace the damaged joint.
Osteoarticular tuberculosis is typically diagnosed through a combination of physical examination, imaging studies such as X-rays or CT scans, and laboratory tests to detect the presence of Mycobacterium tuberculosis infection. Treatment typically involves a course of antibiotics for a period of at least six months, and surgical intervention may be necessary in some cases.
Preventive measures for osteoarticular tuberculosis include vaccination against tuberculosis, screening for the disease in high-risk populations such as those with weakened immune systems, and avoiding close contact with individuals who have active tuberculosis infections.
Some of the key features of osteoarticular tuberculosis include:
* Pain and swelling in the affected joint
* Limited mobility in the joint
* Fever, fatigue, and weight loss
* Night sweats and loss of appetite
* Presence of Mycobacterium tuberculosis infection in the joint fluid or tissue.
Osteoarticular tuberculosis can be challenging to diagnose and treat, as it may mimic other conditions such as osteoarthritis or rheumatoid arthritis. However, early detection and appropriate treatment can help prevent long-term joint damage and improve outcomes for patients with this condition.
Overall, osteoarticular tuberculosis is a serious form of tuberculosis that affects the bones and joints, causing pain, swelling, and limited mobility. Prompt diagnosis and treatment are essential to prevent long-term damage and improve outcomes for patients with this condition.
Examples of acquired foot deformities include:
1. Arthritis-related deformities: Arthritis can cause degenerative changes in the joints of the foot, leading to deformity and pain.
2. Bunion deformities: Bunions are bony growths that form on the side of the big toe joint, causing pain and discomfort.
3. Hammertoe deformities: Hammertoes are abnormal curvatures of the toe joints, which can cause pain and stiffness.
4. Clubfoot: Clubfoot is a congenital deformity in which the foot is twisted inward and downward, causing difficulty walking or standing.
5. Charcot foot: Charcot foot is a degenerative condition that affects the bones of the foot and ankle, leading to deformity and pain.
6. Plantar fasciitis: Plantar fasciitis is inflammation of the plantar fascia, a band of tissue that runs along the bottom of the foot, causing heel pain and stiffness.
7. Achilles tendinitis: Achilles tendinitis is inflammation of the Achilles tendon, which connects the calf muscle to the heel bone, causing pain and stiffness in the ankle and foot.
8. Sesamoiditis: Sesamoiditis is inflammation of the sesamoid bones, small bones located under the first metatarsal bone, causing pain and swelling under the big toe.
9. Gout: Gout is a type of arthritis that causes sudden and severe pain in the foot, particularly in the big toe.
10. Pneumaticulitis: Pneumaticulitis is inflammation of the small air sacs (pneumatocysts) in the bones of the foot, causing pain and swelling.
These are just a few of the many conditions that can cause foot pain. If you are experiencing persistent or severe foot pain, it is important to see a doctor for an accurate diagnosis and appropriate treatment.
Chondrocalcinosis is a type of calcifying disorder, which is a group of conditions characterized by the deposition of minerals such as calcium and phosphate in soft tissues. This condition can affect various joints in the body, including the hips, knees, shoulders, and elbows.
In this article, we will explore the definition, causes, symptoms, diagnosis, treatment, and prognosis of chondrocalcinosis. We will also discuss the surgical procedures used to treat this condition and the potential complications that can arise.
Definition of Chondrocalcinosis:
Chondrocalcinosis is a medical term that refers to the deposition of calcium pyrophosphate crystals within cartilage. This condition is also known as chondromalacia or calcifying joint disease. It is a type of calcifying disorder, which affects the cartilage in various joints throughout the body.
Causes of Chondrocalcinosis:
The exact cause of chondrocalcinosis is not fully understood, but it is believed to be related to aging, genetics, and certain medical conditions. Some risk factors for developing chondrocalcinosis include:
Age: The risk of developing chondrocalcinosis increases with age, with most cases occurring in people over the age of 50.
Family history: People with a family history of chondrocalcinosis are more likely to develop the condition.
Rheumatoid arthritis or osteoarthritis: These conditions can increase the risk of developing chondrocalcinosis.
Other medical conditions: Certain medical conditions, such as hypothyroidism and hyperparathyroidism, can increase the risk of developing chondrocalcinosis.
Symptoms of Chondrocalcinosis:
The symptoms of chondrocalcinosis can vary depending on the severity of the condition and the joints affected. Common symptoms include:
Pain: Pain is one of the most common symptoms of chondrocalcinosis, particularly in the affected joint.
Stiffness: Joint stiffness and limited range of motion can also occur as a result of chondrocalcinosis.
Swelling: Swelling in the affected joint is another common symptom of chondrocalcinosis.
Redness: The affected joint may become red and warm to the touch due to inflammation.
Crepitus: Crepitus, or a grinding sensation, may be felt in the affected joint as a result of the calcium pyrophosphate crystals rubbing against each other.
Treatment of Chondrocalcinosis:
There is no cure for chondrocalcinosis, but there are several treatment options available to manage the symptoms and slow down the progression of the condition. These may include:
Pain relief medication: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and reduce inflammation.
Physical therapy: Gentle exercises and stretches can help maintain joint mobility and strength.
Joint injections: Injecting corticosteroids or hyaluronic acid into the affected joint can help reduce inflammation and relieve pain.
Surgery: In severe cases of chondrocalcinosis, surgery may be necessary to remove the calcium pyrophosphate crystals or repair damaged tissue.
Prevention of Chondrocalcinosis:
There is no guaranteed way to prevent chondrocalcinosis, but there are several measures that can help reduce the risk of developing the condition. These may include:
Maintaining a healthy weight: Excessive weight can put additional strain on the joints and increase the risk of developing chondrocalcinosis.
Staying active: Regular exercise can help maintain joint mobility and strength, reducing the risk of developing chondrocalcinosis.
Wearing protective gear: Wearing protective gear such as knee pads or elbow pads when engaging in activities that involve repetitive stress on the joints can help reduce the risk of developing chondrocalcinosis.
Avoiding excessive stress on the joints: Avoiding activities that involve repetitive stress on the joints, such as heavy lifting or bending, can help reduce the risk of developing chondrocalcinosis.
Early diagnosis and treatment of chondrocalcinosis can help manage symptoms and slow down the progression of the condition. If you suspect you may have chondrocalcinosis, it is important to consult with a healthcare professional for proper evaluation and treatment.
Some common types of connective tissue diseases include:
1. Rheumatoid arthritis (RA): A chronic autoimmune disorder that causes inflammation and joint damage.
2. Systemic lupus erythematosus (SLE): An autoimmune disorder that can affect multiple systems in the body, including the skin, joints, and kidneys.
3. Sjogren's syndrome: An autoimmune disorder that causes dry eyes and mouth, as well as joint pain and swelling.
4. Fibromyalgia: A chronic condition characterized by widespread muscle pain and fatigue.
5. Myositis: Inflammatory diseases that affect the muscles, such as dermatomyositis and polymyositis.
6. Giant cell arteritis: A condition that causes inflammation of the blood vessels, particularly in the head and neck.
7. Takayasu arteritis: A condition that causes inflammation of the blood vessels in the aorta and its branches.
8. Polyarteritis nodosa: A condition that causes inflammation of the blood vessels, particularly in the hands and feet.
9. IgG4-related disease: A condition characterized by inflammation and damage to various organs, including the pancreas, salivary glands, and liver.
Connective tissue diseases can cause a wide range of symptoms, including joint pain and stiffness, fatigue, skin rashes, fever, and weight loss. Treatment options vary depending on the specific disease and its severity, but may include medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and disease-modifying anti-rheumatic drugs (DMARDs). In some cases, surgery or physical therapy may also be necessary.
Examples of acute diseases include:
1. Common cold and flu
2. Pneumonia and bronchitis
3. Appendicitis and other abdominal emergencies
4. Heart attacks and strokes
5. Asthma attacks and allergic reactions
6. Skin infections and cellulitis
7. Urinary tract infections
8. Sinusitis and meningitis
9. Gastroenteritis and food poisoning
10. Sprains, strains, and fractures.
Acute diseases can be treated effectively with antibiotics, medications, or other therapies. However, if left untreated, they can lead to chronic conditions or complications that may require long-term care. Therefore, it is important to seek medical attention promptly if symptoms persist or worsen over time.
There are several types of vasculitis, each with its own set of symptoms and characteristics. Some common forms of vasculitis include:
1. Giant cell arteritis: This is the most common form of vasculitis, and it affects the large arteries in the head, neck, and arms. Symptoms include fever, fatigue, muscle aches, and loss of appetite.
2. Takayasu arteritis: This type of vasculitis affects the aorta and its major branches, leading to inflammation in the blood vessels that supply the heart, brain, and other vital organs. Symptoms include fever, fatigue, chest pain, and shortness of breath.
3. Polymyalgia rheumatica: This is an inflammatory condition that affects the muscles and joints, as well as the blood vessels. It often occurs in people over the age of 50 and is frequently associated with giant cell arteritis. Symptoms include pain and stiffness in the shoulders, hips, and other joints, as well as fatigue and fever.
4. Kawasaki disease: This is a rare condition that affects children under the age of 5, causing inflammation in the blood vessels that supply the heart and other organs. Symptoms include high fever, rash, swollen lymph nodes, and irritability.
The exact cause of vasculitis is not fully understood, but it is thought to be an autoimmune disorder, meaning that the body's immune system mistakenly attacks its own blood vessels. Genetic factors may also play a role in some cases.
Diagnosis of vasculitis typically involves a combination of physical examination, medical history, and diagnostic tests such as blood tests, imaging studies (e.g., MRI or CT scans), and biopsies. Treatment options vary depending on the specific type of vasculitis and its severity, but may include medications to reduce inflammation and suppress the immune system, as well as lifestyle modifications such as exercise and stress management techniques. In severe cases, surgery or organ transplantation may be necessary.
In addition to these specific types of vasculitis, there are other conditions that can cause similar symptoms and may be included in the differential diagnosis, such as:
1. Rheumatoid arthritis (RA): This is a chronic autoimmune disorder that affects the joints and can cause inflammation in blood vessels.
2. Systemic lupus erythematosus (SLE): This is another autoimmune disorder that can affect multiple systems, including the skin, joints, and blood vessels.
3. Polyarteritis nodosa: This is a condition that causes inflammation of the blood vessels, often in association with hepatitis B or C infection.
4. Takayasu arteritis: This is a rare condition that affects the aorta and its branches, causing inflammation and narrowing of the blood vessels.
5. Giant cell arteritis: This is a condition that causes inflammation of the large and medium-sized blood vessels, often in association with polymyalgia rheumatica (PMR).
6. Kawasaki disease: This is a rare condition that affects children, causing inflammation of the blood vessels and potential heart complications.
7. Henoch-Schönlein purpura: This is a rare condition that causes inflammation of the blood vessels in the skin, joints, and gastrointestinal tract.
8. IgG4-related disease: This is a condition that can affect various organs, including the pancreas, bile ducts, and blood vessels, causing inflammation and potentially leading to fibrosis or tumor formation.
It is important to note that these conditions may have similar symptoms and signs as vasculitis, but they are distinct entities with different causes and treatment approaches. A thorough diagnostic evaluation, including laboratory tests and imaging studies, is essential to determine the specific diagnosis and develop an appropriate treatment plan.
Iritis, also known as anterior uveitis, is a type of inflammatory eye disease that affects the iris, which is the coloured part of the eye. It is a condition where the iris becomes inflamed, leading to pain, redness, and blurred vision.
Causes:
The exact cause of iritis is not known, but it is believed to be an autoimmune response, where the body's immune system mistakenly attacks healthy tissue in the eye. It can also be triggered by an infection or injury.
Symptoms:
The symptoms of iritis can vary depending on the severity of the condition, but common signs include:
* Eye pain, which can be severe
* Redness and inflammation of the eye
* Blurred vision or sensitivity to light
* Seeing floaters or flashes of light
* Sensitivity to touch or pressure on the eye
Diagnosis:
Iritis is diagnosed based on a comprehensive eye exam, which includes a visual acuity test, dilated eye exam, and tonometry. The doctor may also perform additional tests such as a fluorescein dye test or imaging studies to rule out other conditions.
Treatment:
The treatment of iritis typically involves a combination of medications and therapies, including:
* Corticosteroids to reduce inflammation
* Anti-inflammatory eye drops or ointments
* Pain relief medication
* Warm compresses to the affected eye
* Eye exercises to improve vision
* In severe cases, surgery may be necessary to remove the inflamed tissue
Prognosis:
The prognosis for iritis is generally good if treated promptly and effectively. However, if left untreated, it can lead to complications such as cataracts, glaucoma, or permanent vision loss. It is important to seek medical attention immediately if symptoms persist or worsen over time.
Prevention:
There is no known prevention for iritis, but early detection and treatment can help reduce the risk of complications. Regular eye exams and awareness of the signs and symptoms can help identify the condition in its early stages.
Complications:
Iritis can lead to several complications if left untreated or if the inflammation is not properly managed. These may include:
* Cataracts: The inflammation can cause clouding of the lens, leading to vision loss.
* Glaucoma: The increased pressure in the eye can lead to damage to the optic nerve and vision loss.
* Permanent vision loss: If the inflammation is not properly managed, it can lead to permanent vision loss.
* Increased risk of infection: Iritis can increase the risk of infection, particularly if the eye is not properly cleaned and cared for.
Conclusion:
Iritis is a painful and potentially sight-threatening condition that can cause inflammation in the iris of the eye. Early detection and prompt treatment are crucial to prevent complications and preserve vision. A comprehensive understanding of the signs, symptoms, diagnosis, treatment, prognosis, prevention, and complications of iritis is essential for effective management of this condition. If you suspect you or someone you know may have iritis, it is important to seek medical attention promptly to ensure proper diagnosis and treatment.
Anterior uveitis can be caused by a variety of factors, including infection, autoimmune disorders, and trauma. It is often diagnosed through a combination of physical examination, imaging tests such as ultrasound or MRI, and laboratory tests to rule out other conditions. Treatment options for anterior uveitis depend on the underlying cause and may include antibiotics, anti-inflammatory medications, and surgery to remove any affected tissue.
In summary, anterior uveitis is a type of inflammation that occurs in the front part of the eye, which can cause symptoms such as redness, pain, blurred vision, and sensitivity to light. It can be caused by a variety of factors and diagnosed through a combination of physical examination, imaging tests, and laboratory tests. Treatment options depend on the underlying cause and may include antibiotics, anti-inflammatory medications, and surgery.
1. Athlete's Foot (Tinea Pedis): A fungal infection that causes itching, burning, and cracking on the soles of the feet and between the toes.
2. Bunions: Bony growths on the side or base of the big toe, causing pain, redness, and swelling.
3. Corns and Calluses: Thickened areas of skin on the feet, often caused by poorly fitting shoes or repeated friction.
4. Plantar Fasciitis: Inflammation of the plantar fascia, a band of tissue that runs along the bottom of the foot, causing heel pain and stiffness.
5. Gout: A type of arthritis that causes sudden, severe pain in the feet and ankles, often accompanied by swelling and redness.
6. Hammertoes: Deformed toe joints, caused by poorly fitting shoes or muscle imbalance, leading to pain, corns, and calluses.
7. Ingrown toenails: Nails that grow into the skin, causing pain, redness, and swelling.
8. Osteoarthritis: Wear and tear on the joints of the feet, leading to pain, stiffness, and limited mobility.
9. Peripheral Neuropathy: Damage to the nerves in the feet, causing numbness, tingling, and pain.
10. Ulcers: Open sores on the skin of the feet, often caused by diabetes, poor circulation, or injury.
Foot diseases can be diagnosed through physical examination, imaging tests such as X-rays or CT scans, and laboratory tests to determine the cause of the condition. Treatment options vary depending on the specific disease, but may include medications, footwear modifications, orthotics, physical therapy, and in some cases, surgery.
There are several different types of uveitis, including:
1. Anterior uveitis: This type affects the front part of the eye and is the most common form of uveitis. It is often caused by an infection or injury.
2. Posterior uveitis: This type affects the back part of the eye and can be caused by a systemic disease such as sarcoidosis or juvenile idiopathic arthritis.
3. Intermediate uveitis: This type affects the middle layer of the eye and is often caused by an autoimmune disorder.
4. Panuveitis: This type affects the entire uvea and can be caused by a systemic disease such as vasculitis or Behçet's disease.
Symptoms of uveitis may include:
* Eye pain
* Redness and swelling in the eye
* Blurred vision
* Sensitivity to light
* Floaters (specks or cobwebs in your vision)
* Flashes of light
If you experience any of these symptoms, it is important to see an eye doctor as soon as possible. Uveitis can be diagnosed with a comprehensive eye exam, which may include imaging tests such as ultrasound or MRI. Treatment for uveitis depends on the cause and severity of the condition, but may include medication to reduce inflammation, antibiotics for infections, or surgery to remove any diseased tissue.
Early diagnosis and treatment are important to prevent complications such as cataracts, glaucoma, and blindness. If you have uveitis, it is important to follow your doctor's recommendations for treatment and monitoring to protect your vision.
There are several types of Mycoplasma bacteria that can cause infection in humans, including:
1. Mycoplasma pneumoniae, which is the most common cause of atypical pneumonia and can also cause sinus infections, bronchitis, and other respiratory infections.
2. Mycoplasma genitalium, which can cause pelvic inflammatory disease, epididymitis, and urethritis.
3. Mycoplasma hominis, which is a common inhabitant of the human respiratory tract and can cause infections such as pneumonia and bronchitis.
4. Mycoplasma fermentans, which is associated with respiratory infections and has been linked to conditions such as asthma and chronic obstructive pulmonary disease (COPD).
Mycoplasma infections are typically diagnosed through a combination of physical examination, medical history, and laboratory tests such as blood cultures and PCR (polymerase chain reaction) tests. Treatment for Mycoplasma infections usually involves antibiotics, but the type and duration of treatment may vary depending on the severity and location of the infection.
Prevention measures for Mycoplasma infections include good hygiene practices such as frequent handwashing, avoiding close contact with people who are sick, and covering the mouth and nose when coughing or sneezing. Vaccines are also available for some types of Mycoplasma bacteria, such as the M. pneumoniae vaccine, which is recommended for certain high-risk groups.
Overall, Mycoplasma infections can be serious and potentially life-threatening, especially in certain populations such as young children, older adults, and people with weakened immune systems. If you suspect that you or someone you know may have a Mycoplasma infection, it is important to seek medical attention right away.
The exact cause of PMR is not known, but it is believed to be related to an abnormal immune response. The condition often occurs in conjunction with another inflammatory disorder called giant cell arteritis (GCA), which affects the blood vessels.
Symptoms of PMR include:
* Pain and stiffness in the shoulders, hips, and other joints
* Fatigue
* Fever
* Loss of appetite
* Sleep disturbances
* Weight loss
The diagnosis of PMR is based on a combination of symptoms, physical examination findings, and laboratory test results. Laboratory tests may include blood tests to check for inflammatory markers, such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
Treatment for PMR typically involves a combination of medications, including:
* Corticosteroids to reduce inflammation
* Pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or narcotics
* Anti-inflammatory medications, such as disease-modifying anti-rheumatic drugs (DMARDs) or biologic response modifiers
In addition to medication, physical therapy and exercise may be helpful in managing the symptoms of PMR. In some cases, surgery may be necessary to repair joint damage.
The prognosis for PMR is generally good, with most people experiencing significant improvement within a few months of starting treatment. However, the condition can be challenging to diagnose and treat, and it is important to work closely with a healthcare provider to find the most effective treatment plan.
The term "osteomyelitis" comes from the Greek words "osteon," meaning bone, and "myelitis," meaning inflammation of the spinal cord. The condition is caused by an infection that spreads to the bone from another part of the body, such as a skin wound or a urinary tract infection.
There are several different types of osteomyelitis, including:
1. Acute osteomyelitis: This type of infection occurs suddenly and can be caused by bacteria such as Staphylococcus aureus or Streptococcus pneumoniae.
2. Chronic osteomyelitis: This type of infection develops slowly over time and is often caused by bacteria such as Mycobacterium tuberculosis.
3. Pyogenic osteomyelitis: This type of infection is caused by bacteria that enter the body through a skin wound or other opening.
4. Tubercular osteomyelitis: This type of infection is caused by the bacteria Mycobacterium tuberculosis and is often associated with tuberculosis.
Symptoms of osteomyelitis can include fever, chills, fatigue, swelling, redness, and pain in the affected area. Treatment typically involves antibiotics to fight the infection, as well as supportive care to manage symptoms and prevent complications. In severe cases, surgery may be necessary to remove infected tissue or repair damaged bone.
Preventing osteomyelitis involves taking steps to avoid infections altogether, such as practicing good hygiene, getting vaccinated against certain diseases, and seeking medical attention promptly if an infection is suspected.
Examples of delayed hypersensitivity reactions include contact dermatitis (a skin reaction to an allergic substance), tuberculin reactivity (a reaction to the bacteria that cause tuberculosis), and sarcoidosis (a condition characterized by inflammation in various organs, including the lungs and lymph nodes).
Delayed hypersensitivity reactions are important in the diagnosis and management of allergic disorders and other immune-related conditions. They can be detected through a variety of tests, including skin prick testing, patch testing, and blood tests. Treatment for delayed hypersensitivity reactions depends on the underlying cause and may involve medications such as antihistamines, corticosteroids, or immunosuppressants.
Psoriatic arthritis
Psoriatic Arthritis Quality of Life
HLA-B38
Arthritis
TNIP1
Acanthocheilonemiasis
List of patient-reported quality of life surveys
HLA-B39
Psoriasis
Dafna D. Gladman
Julian Worricker
Ustekinumab
Medical animation
Bone resorption
Secukinumab
Post-traumatic arthritis
Apremilast
Risankizumab
Tofacitinib
Guselkumab
Phosphodiesterase-4 inhibitor
Arthritis mutilans
Ixekizumab
Etanercept
Christopher Columbus
Institute for Clinical and Economic Review
Matti Breschel
Ross Petty (pediatrician)
Generalized pustular psoriasis
Royal Robbins
Episcleritis
Calcineurin
Uveitis
Shawn Lane
Betamethasone
Plantar fascia
List of skin conditions
PAPA syndrome
Biopharmaceutical
Bor, Serbia
Methylprednisolone
Condylar resorption
List of autoimmune diseases
Metabolic syndrome
HLA-B27
List of MeSH codes (C05)
Amphiregulin
Arn Shein
Clazakizumab
Dr Manmohan Singh Scholarship
Janus kinase inhibitor
Protein inhibitor of activated STAT
Namilumab
Dactylitis
Psoriasis | Psoriatic Arthritis | MedlinePlus
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Psoriatic Arthritis | MedlinePlus
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A Study of Ixekizumab in Participants With Active Psoriatic Arthritis - Full Text View - ClinicalTrials.gov
Apremilast in psoriatic arthritis - PubMed
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Correspondence on 'Safety and efficacy of faecal microbiota transplantation for active peripheral psoriatic arthritis: an...
Psoriatic Arthritis : Overview, Causes, Symptoms, Treatment - illness.com
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The Connection Between Sacroiliitis & Psoriatic Arthritis
Rheumatoid arthritis13
- These symptoms may also be seen in rheumatoid arthritis (RA), lupus , osteoarthritis (OA), ankylosing spondylitis , and conditions with inflammatory arthritis. (healthline.com)
- Psoriatic arthritis (PsA) resembles rheumatoid arthritis (RA) in symptoms characterized by joint inflammation. (delveinsight.com)
- We set out in this study to demonstrate the adverse effect profile of methotrexate when used in the treatment of rheumatoid arthritis (RA) and psoriatic arthritis (PsA) in a district general hospital population, and to investigate the effect of alcohol consumption in these patients. (nih.gov)
- Disease Teams (DTs) will focus on one of the following diseases: rheumatoid arthritis, lupus, psoriatic spectrum disease, or Sjögren's syndrome. (nih.gov)
- The goal of the planned AMP Autoimmune and Immune Mediated Diseases (AMP AIM) Program is to ascertain and define shared and disease-specific biological pathways in order to identify relevant drug targets for the treatment of rheumatoid arthritis (RA), systemic lupus erythematosus, psoriatic spectrum diseases (PSD), Sjögren's syndrome (SS), and related autoimmune and immune mediated diseases. (nih.gov)
- Unlike conditions such as rheumatoid arthritis, systemic lupus erythematosus, or systemic vasculitis, there are no autoimmune diagnostic markers. (musculoskeletalkey.com)
- For instance, health-related quality of life measures are similar to rheumatoid arthritis. (musculoskeletalkey.com)
- W. Benjamin Nowell, PhD, answers our questions about his research on patient beliefs and perceptions relating to methotrexate use in the management of rheumatoid arthritis and psoriatic arthritis. (consultant360.com)
- Rheumatoid arthritis runs in my family. (rheumresearch.org)
- Juvenile idiopathic arthritis (JIA) , or juvenile rheumatoid arthritis, is the most common chronic arthritis in children. (medscape.com)
- 12. Evidence-based Recommendations for the Management of Comorbidities in Rheumatoid Arthritis, Psoriasis, and Psoriatic Arthritis: Expert Opinion of the Canadian Dermatology-Rheumatology Comorbidity Initiative. (nih.gov)
- 16. Comorbidity in psoriatic arthritis and rheumatoid arthritis. (nih.gov)
- Rheumatoid arthritis (RA) is a form of autoimmune inflammation that causes pain, swelling, stiffness and loss of function in your joints. (nih.gov)
American College of R4
- The efficacy of the monoclonal antibody guselkumab (Tremfya) persisted through 2 years of follow-up among patients with active psoriatic arthritis (PsA), a researcher reported at the virtual American College of Rheumatology (ACR) annual meeting. (medpagetoday.com)
- Percentage of Participants Achieving American College of Rheumatology 20 (ACR20) Response at Week 24 (Efficacy of Ixekizumab in Participants With Active Psoriatic Arthritis. (clinicaltrials.gov)
- ATLANTA - Secukinumab provides sustained improvements in nail disease, clinical symptoms of psoriatic arthritis (PsA), physical function, and quality of life in patients with PsA with moderate to severe nail psoriasis, according to research results presented at the 2019 American College of Rheumatology/Association of Rheumatology Professionals (ACR/ARP) Annual Meeting, held November 8 to13, 2019, in Atlanta, Georgia. (rheumatologyadvisor.com)
- ATLANTA - Patients with psoriatic arthritis (PsA) treated with either corticosteroids or interleukin (IL) inhibitors, either alone or in combination with other drugs, may be more likely to experience depression , according to research presented at the 2019 American College of Rheumatology/Association of Rheumatology Professionals Annual Meeting (ACR/ARP), held November 8 to 13, 2019, in Atlanta, Georgia. (psychiatryadvisor.com)
Newly diagnosed with psoriatic arthritis1
- Yet the most frequently asked question from patients newly diagnosed with psoriatic arthritis relates to future outcome. (musculoskeletalkey.com)
Cure for psoriatic arthritis2
- There is no cure for psoriatic arthritis, but thanks to a better understanding of the disease, treatments can slow its progression, lessen pain, and protect the joints. (nih.gov)
- However, no cure for psoriatic arthritis (PsA) exists, so treatment goals are to slow disease progression, improve QoL, lessen pain, and preserve the range of motion. (delveinsight.com)
Psoriasis and psoriatic arthritis2
Develop psoriatic arthritis3
- Most people who develop psoriatic arthritis already have psoriasis (a skin disease) when they are diagnosed, but a small fraction have joint pain before the skin rash. (nih.gov)
- While it is not yet clear who will develop psoriatic arthritis, obesity and having severe psoriasis appear to be associated with a higher risk of arthritis among people with psoriasis. (nih.gov)
- In rare cases, some individuals develop psoriatic arthritis before the skin condition is visible. (healthandconditions.com)
Diagnosis5
- Key themes derived from the focus groups suggest that health professionals perceived that people with psoriatic arthritis-related foot problems experience suboptimal management from symptom onset, to diagnosis and treatment. (biomedcentral.com)
- Early psoriatic arthritis is a heterogeneous condition that can make diagnosis difficult and can be confused with nodal osteoarthritis, fibromyalgia, and mechanical back pain. (musculoskeletalkey.com)
- therefore, diagnosis and differentiation from other forms of arthritis can often be a challenge. (musculoskeletalkey.com)
- The use of computed tomography in the diagnosis of psoriatic arthritis should be part of routine evaluation. (bvsalud.org)
- Magnetic resonance imaging, ultrasound and scintigraphy have important role in early diagnosis of psoriatic arthritis in the temporomandibular joint, in tracking the progress of the disease and may also indicate a change in treatment. (bvsalud.org)
Joints19
- Psoriatic arthritis (PsA) is a chronic inflammatory autoimmune condition characterized by inflamed joints. (rheumatology.org)
- Psoriatic arthritis may affect one or many different joints, resulting in stiffness and swelling. (rheumatology.org)
- Diagnosing psoriatic arthritis starts with a physical exam to look for swollen or painful joints, and nail and skin changes. (rheumatology.org)
- Psoriatic arthritis (PsA) is an inflammatory disease that leads to both pain and swelling in your joints. (healthline.com)
- Psoriatic arthritis is a progressive inflammatory condition of the joints and the places where tendons and ligaments attach to bones (entheses). (nih.gov)
- Psoriatic arthritis causes your joints to swell up. (nih.gov)
- Psoriatic arthritis (PsA) is an autoimmune condition that causes inflammation in the joints and skin. (health.com)
- Arthritis mutilans is the most severe type of PsA and causes painful inflammation that can deform and damage the function of the joints. (health.com)
- Chronic iridocyclitis , the eye inflammation more usually seen in the form of juvenile chronic arthritis with few joints involved, occurs in 8-17% of cases of psoriatic arthritis of childhood. (papaa.org)
- In terms of severity, the condition lies somewhere between the forms of juvenile chronic arthritis with few and with many joints involved. (papaa.org)
- If your child develops painful joints and there is a family history of psoriasis - even if the child shows no psoriasis at the time - it is worth mentioning the possibility to your doctor and even more so, if any family member has psoriatic arthritis. (papaa.org)
- However, psoriatic arthritis (PsA) affects fewer joints than RA and does not produce the typical RA antibodies. (delveinsight.com)
- The etiology and pathogenesis of psoriatic arthritis (PsA) involve a complex interaction between genetic and environmental factors resulting in immune-mediated inflammation involving the skin and joints and may involve other organs. (delveinsight.com)
- Unlike psoriatic arthritis (PsA), RA is symmetrical and generally spares the DIP joints. (delveinsight.com)
- Arthritis may be mild and involve only a few joints. (illness.com)
- Arthritis means inflammation or swelling of one or more joints. (cdc.gov)
- Psoriatic arthritis (PsA) is a chronic inflammation of the skin and joints that causes pain, stiffness, and swelling in affected joints. (cdc.gov)
- William Tillett, MD, PhD, answers our questions about his research on the role of the distal interphalangeal joints in relation to psoriatic nail dystrophy and radiographic damage in PsA. (consultant360.com)
- Psoriatic arthritis can affect any part of the body, including the spine and sacroiliac joints. (psoriatic-arthritis.com)
Symptoms8
- If NSAIDs don't ease arthritis symptoms, your rheumatologist may prescribe disease-modifying antirheumatic drugs (DMARDs), such as sulfasalazine, methotrexate, or leflunomide, or azathioprine. (rheumatology.org)
- ORENCIA ® (abatacept) is a prescription medicine that reduces signs and symptoms in adults with active psoriatic arthritis (PsA). (bms.com)
- The large majority of people who get it already have psoriasis, and, on average, psoriatic arthritis develops about 7 to 10 years after the onset of skin symptoms. (nih.gov)
- Symptoms of psoriatic arthritis vary greatly from person to person. (nih.gov)
- Overall, secukinumab demonstrated efficacy in nail psoriasis and showed improvements in signs and symptoms and low radiographic progression in patients with psoriatic arthritis. (rheumatologyadvisor.com)
- Specific symptoms vary depending on the type of arthritis, but usually include joint pain and stiffness. (cdc.gov)
- Symptoms of psoriatic arthritis can be mild or severe, but getting treatment at the first sign of the condition can help you prevent permanent joint damage. (healthandconditions.com)
- People who have earlier onset psoriasis should watch out for arthritis symptoms. (healthandconditions.com)
Arthropathy1
- The psoriatic arthritis is a chronic arthropathy of not fully clarified etiology and pathogenesis that, although rare, can affect the temporomandibular joint. (bvsalud.org)
Inflammation5
- The main aims of treating juvenile psoriatic arthritis are to reduce joint inflammation, maintain mobility and prevent deformity. (papaa.org)
- Genes associated with psoriatic arthritis (PsA) include those in the HLA region involved in antigen presentation and immune recognition and non-HLA genes involved in immune activation and inflammation, including intracellular signaling, cytokine expression, and signaling T-cell effector function. (delveinsight.com)
- In addition to preventing irreversible joint damage, treating psoriatic arthritis (PsA) may also help reduce inflammation that could lead to other comorbidities. (delveinsight.com)
- It may also lead to systemic complications, such as cardiovascular disease, depression, and joint inflammation (which is called psoriatic arthritis and affects up to 30% of those with psoriasis). (nih.gov)
- This suggests that the effects of psoriatic inflammation extend beyond individual lesions. (nih.gov)
Systemic2
Genes2
- Many people who get psoriatic arthritis have a family history of the disease, and researchers have identified some of the genes involved. (nih.gov)
- It is not yet clear which genes make a person susceptible to psoriatic arthritis. (healthandconditions.com)
Methotrexate4
- It is proposed that psoriatic patients may be inherently more susceptible to methotrexate hepatotoxicity than are rheumatoid patients. (nih.gov)
- IMSEAR at SEARO: Psoriatic arthritis and methotrexate. (who.int)
- Psoriatic arthritis and methotrexate. (who.int)
- Borges NE, Vaidya S. Psoriatic arthritis and methotrexate. (who.int)
Secukinumab2
- A total of 996 patients with active psoriatic arthritis were randomly assigned to receive a subcutaneous secukinumab loading dose of 300 mg (n=144), 150 mg (n=135), 150 mg no loading dose (n=153), or placebo (n=231). (rheumatologyadvisor.com)
- To better understand the potential benefits of secukinumab use in patients with psoriatic arthritis, researchers examined the proportion of patients being treated with secukinumab that achieved low disease. (consultant360.com)
Juvenile7
- As many as 12,000 children in the UK are affected by juvenile idiopathic arthritis (JIA). (papaa.org)
- Juvenile psoriatic arthritis (JPsA), accounts for 2 - 15% of new diagnoses and is diagnosed when there is joint pain association with psoriasis. (papaa.org)
- Juvenile psoriatic arthritis is sometimes thought of as part of the spectrum of juvenile chronic arthritis summarised above but others regard it as a separate disease to be distinguished from these, having more in common with reactive arthritis and juvenile ankylosing spondylitis. (papaa.org)
- Generally, in juvenile chronic arthritis this does not happen but tendons are often inflamed. (papaa.org)
- The most common type of childhood arthritis is juvenile idiopathic arthritis (JIA). (cdc.gov)
- The aim of this study was to identify the prevalence of functional disability and Yousif the possible factors that may be associated with functional disability in children and adolescents with juvenile idiopathic arthritis (JIA) in Sharkia Governorate. (who.int)
- Juvenile idiopathic arthritis· Functional disability· Determinants. (who.int)
Affects4
- Psoriatic Arthritis (PsA) is a chronic, inflammatory disease that affects both the skin and musculoskeletal system. (bms.com)
- Psoriatic arthritis affects some people who have psoriasis, a chronic inflammatory disease of the immune system that manifests itself as patches of red or silvery skin lesions. (healthandconditions.com)
- The researchers evaluated the impact of antirheumatic treatment in women who are pregnant with psoriatic arthritis and how such treatment affects pregnancy outcomes. (consultant360.com)
- It affects those patients who already have some type of arthritis. (searchherbalremedy.com)
Severity3
- Psoriatic arthritis (PsA) may range from mild to severe, and its treatment is crucial despite the severity. (delveinsight.com)
- The modified Nail Psoriasis Severity Index (mNAPSI), radiographic progression (mTSS), ACR20/50, Psoriasis Area and Severity Index (PASI), Health Assessment Questionnaire Disability Index, Short Form Physical Component Summary, Psoriatic Arthritis Quality of Life, and resolution of dactylitis and enthesitis were used as efficacy assessments through week 52 of the study. (rheumatologyadvisor.com)
- Spatial transcriptomics stratifies psoriatic disease severity by emergent cellular ecosystems. (nih.gov)
Treatment13
- Psoriatic arthritis is a heterogeneous disease that requires lifelong treatment, so the durability of response is an important consideration," he noted. (medpagetoday.com)
- Bristol-Myers Squibb has received approval for ORENCIA ® (abatacept) from the U.S. Food and Drug Administration (FDA) for the treatment of adults with active Psoriatic Arthritis (PsA). (bms.com)
- We welcome the introduction of an additional treatment option for adults with active Psoriatic Arthritis, because we believe additional treatment options, along with further research, education, and support services, are critical for PsA patients. (bms.com)
- They can help you find out if you have psoriatic arthritis and what treatment methods are best for you. (nih.gov)
- Apremilast is a small molecule inhibitor of phosphodiesterase (PDE) 4 approved for the treatment of psoriatic arthritis (PsA). (nih.gov)
- Apremilast for the treatment of psoriatic arthritis. (nih.gov)
- To evaluate the efficacy and safety of apremilast, a novel, orally available small molecule that specifically targets phosphodiesterase 4, in the treatment of active psoriatic arthritis (PsA). (nih.gov)
- Without appropriate treatment, psoriatic arthritis may be disabling, so it is important to be aware of psoriatic arthritis risk factors. (healthandconditions.com)
- TREMFYA is indicated for the treatment of adult patients with active psoriatic arthritis. (nih.gov)
- Conventional synthetic disease-modifying antirheumatic drugs are the first-line treatment to inhibit the progression of psoriatic arthritis . (bvsalud.org)
- 4. Comprehensive treatment of psoriatic arthritis: managing comorbidities and extraarticular manifestations. (nih.gov)
- 19. Management of Psoriatic Arthritis in Patients With Comorbidities: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations. (nih.gov)
- To learn about risk factors for psoriasis and current prevention and treatment strategies visit the psoriasis site from the National Institute of Arthritis and Musculoskeletal and Skin Diseases . (nih.gov)
Patients with psoriasis2
- In a German study from 48 centers studying 1511 patients with psoriasis, 21% had psoriatic arthritis and as many as 85% of cases were newly diagnosed after assessment by rheumatology. (musculoskeletalkey.com)
- 14. Cardiovascular and other comorbidities in patients with psoriatic arthritis: a comparison with patients with psoriasis. (nih.gov)
Ankylosing spondylitis1
- Psoriatic arthritis (PsA) shares some clinical features with other inflammatory arthritides, including RA, reactive arthritis (ReA), and ankylosing spondylitis (AS). (delveinsight.com)
Osteoarthritis1
- Researchers conducted a trial to investigate the use of cannabidiol (CBD) to help manage pain in patients with psoriatic arthritis and hand osteoarthritis. (consultant360.com)
Lesions4
- The T helper 17 cell line has been implicated in the pathogenesis of both conditions, and IL-23 promotes the proliferation of T helper cells in psoriatic lesions. (medpagetoday.com)
- Skin trauma induces psoriatic skin lesions flares, known as the Koebner phenomenon. (delveinsight.com)
- Most people develop psoriasis before being diagnosed with psoriatic arthritis, but joint issues sometimes appear before skin lesions. (healthandconditions.com)
- From those with psoriasis, they included samples from skin with and without lesions and from those with and without psoriatic arthritis. (nih.gov)
Ixekizumab1
- This study will assess the safety and efficacy of ixekizumab (LY2439821) compared to placebo in participants with active psoriatic arthritis. (clinicaltrials.gov)
Efficacy2
Disease13
- If you have psoriasis, you may get another disease called psoriatic arthritis. (nih.gov)
- Psoriatic arthritis (PsA) is a form of arthritis associated with psoriasis, chronic skin and nail disease characterized by red, scaly rashes and thick pitted fingernails. (delveinsight.com)
- In a few people, arthritis comes before skin disease. (illness.com)
- Active foot disease persists in a high proportion of people with psoriatic arthritis despite the availability of pharmacological and non-pharmacological interventions to modify the course of the disease. (biomedcentral.com)
- Limited information exists on the provision of health care for foot disease in psoriatic arthritis. (biomedcentral.com)
- To meet the foot health needs of people with psoriatic arthritis, reducing diagnostic delay, improving knowledge and awareness about the disease among people with psoriatic arthritis and health professionals, and increasing specialist podiatry service provision may be required. (biomedcentral.com)
- Psoriatic arthritis (PsA) is a chronic inflammatory disease characterised by a variety of musculoskeletal and dermatological manifestations [ 1 ]. (biomedcentral.com)
- Psoriatic arthritis is a chronic disease that gets worse over time, but you may experience periods of symptom relief or remission. (healthandconditions.com)
- Currently, the strongest predictors for the development of psoriatic arthritis in individuals with psoriasis are nail disease, obesity, and HLA-B27. (musculoskeletalkey.com)
- Psoriatic arthritis (PsA) is an inflammatory disease where the body's immune system attacks its own joint tissues. (psoriatic-arthritis.com)
- Before I was diagnosed with psoriatic arthritis and adult onset Still's disease, a rheumatologist told me that I might need assistance walking or need to be in a wheelchair for the rest of my life. (rheumresearch.org)
- Conventional Synthetic Disease-Modifying Anti-rheumatic Drugs for Psoriatic Arthritis: Findings and Implications From a Patient Centered Longitudinal Study in Brazil. (bvsalud.org)
- disease on daily life in childhood-onset uvenile idiopathic arthritis (JIA) is the most rheumatic diseases [1] . (who.int)
Onset2
- Simultaneous onset of rash and arthritis is rather uncommon. (papaa.org)
- AS has an earlier onset age than psoriatic arthritis (PsA), and sacroiliac involvement is usually symmetric rather than asymmetric. (delveinsight.com)
Stiffness1
- Joint pain, swelling, and stiffness are the common signs of psoriatic arthritis. (healthandconditions.com)
Arthritic1
- There have been variable estimates of the incidence and prevalence of psoriatic arthritic, likely owing to factors such as historical differences in diagnostic criteria applied, study setting, and method of case ascertainment. (musculoskeletalkey.com)
Occurs2
- Psoriatic arthritis often, but not always, occurs in people who also have psoriasis, an autoimmune skin condition that results in scaly, red itchy patches. (rheumatology.org)
- Psoriatic arthritis occurs in about 7% to 42% of people with psoriasis. (illness.com)
Comorbidities6
- 1. Recognizing and managing comorbidities in psoriatic arthritis. (nih.gov)
- 2. Comorbidities in Psoriatic Arthritis. (nih.gov)
- 3. Comorbidities associated with psoriatic arthritis: Review and update. (nih.gov)
- 6. Comorbidities Associated with Psoriatic Arthritis Compared with Non-psoriatic Spondyloarthritis: A Cross-sectional Study. (nih.gov)
- 15. Comorbidities in Psoriatic Arthritis: A Narrative Review. (nih.gov)
- 17. Psoriatic arthritis: complexities, comorbidities and implications for the clinic. (nih.gov)
Severe1
- However, having severe, wide-spread psoriasis appears to increase the chance of getting psoriatic arthritis. (illness.com)
Mild1
- Mild arthritis flares may be treated with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen sodium. (rheumatology.org)
Form of arthritis1
- Some people who have psoriasis also get a form of arthritis called psoriatic arthritis . (nih.gov)
Diseases2
- The National Institute of Arthritis and Musculoskeletal and Skin Diseases explains that the cause for most autoimmune diseases (including PsA) is unknown. (health.com)
- 20. Prevalence and incidence rates of cardiovascular, autoimmune, and other diseases in patients with psoriatic or psoriatic arthritis: a retrospective study using Clinical Practice Research Datalink. (nih.gov)
Trigger2
- Sometimes an infection might trigger your immune system to induce psoriatic arthritis. (nih.gov)
- Strep throat - There has been some speculation that streptococcal bacterial infection might trigger psoriatic arthritis. (healthandconditions.com)
Active1
- active psoriatic arthritis. (nih.gov)
Imaging3
- Your doctor will do a physical exam and imaging tests to diagnose psoriatic arthritis. (medlineplus.gov)
- Objective: The aim of the study is to review the literature about psoriatic arthritis imaging fetures at the tempormandibular joint. (bvsalud.org)
- Final considerations: However, it is concluded that the psoriatic arthritis involving the temporomandibular joint is characterized by pain and functional limitation, causing progressive destruction of articular tissue and bone components, clearly indicated on imaging examinations. (bvsalud.org)
Plaque psoriasis1
- In another multinational study of 34 dermatology centers, 949 patients with plaque psoriasis were evaluated and 41% of 285 with psoriatic arthritis had not previously been diagnosed. (musculoskeletalkey.com)
People with psoriasis2
- Some people with psoriasis have psoriatic arthritis. (medlineplus.gov)
- In one study, researchers examined people with psoriasis to see if they could learn more about sacroiliitis and its connection to psoriatic arthritis. (psoriatic-arthritis.com)