Rheumatoid Arthritis Flashcards
2010 ACR/EULAR criteria for the classification of RA
Number and site of involved joints
Serological abnormality
Elevated acute phase response
Symptom duration
Assessment tools for RA - radiology
Sharp score
Larsen index
Assessment tools for RA - disease activity
Disease activity score (DAS)
ACR response criteria
EULAR response criteria
Assessment tools for RA - functional status
Health assessment questionnaire (HAQ)
Radiological evidence of early RA
Soft tissue swelling Periarticular osteopenia Loss of cartilage Narrowing of joint space Juxta-articular erosions Large cystic erosions
DAS28
Provides a number on a scale 1 - 10 which indicates to current activity of the disease
>2.6 remission
>3.2 low disease activity
5.1 - 10 high disease activity
HADQI
Patients report how much difficulty they are having performing various activity and score 0 - 3
csDMARDs
Methotrexate, gold, sulfasalazine, hydroxychloroquine, leflunomide
Hydroxyhchloroquine interferes with
cell’s ability to degrade and process proteins
Methotrexate interferes with
production of tetrahydrofolate and de novo synthesis of purines