Seminar A arthritis Flashcards
Types of arthritis and rheumatism
Soft tissue rheumatism →
Localised rheumatoid
Fibromyalgia Polymayalgia rheuamatica Bone disease Osteoporosis Metabolic Other arthritis Other diseases No disease Osteoarthritis Inflammatory polyarthritis Rheumatoid Arthritis SLE Spondyloarthropathies Other CTD Crystal arthropathy Gout Pseudogout Spinal pain
Soft tissue rheumatism →
Pain and stiffness from structures outside joints
Localised rheumatoid
Pain and stiffness from specific structures such as the ileo-lumbar ligament
Fibromyalgia
A term loosely used to describe patients with a syndrome of pain and tenderness in multiple sites. There is a strict definition but it is rarely used
Polymayalgia rheuamatica
A specific disease causing early morning proximal muscle stiffness but not arthritis. It occurs in people over 60, and sometimes in associsation with temporal (or giant cell) arteritis (when younger people might be affected)
Osteoporosis
Reduction in all bone tissues
Metabolic
For example, osteomalacia, when bone calcification but not bone protein is reduced.
Other arthritis
There are over 200 recognised types of arthritis and rheumatism
Other diseases
Many other diseases cause aches and pain in muscles and joints. Hypothyroidism and diabetes are good examples
No disease
Everyday aches and pains can be interpreted as indicating a serious illness in those with worries or concerns
Osteoarthritis
Patchy cartilage death and local bony overgrowth
Inflammatory polyarthritis
Inflammation inside many joints
Rheumatoid Arthritis
Synovial hyperplasia and inflammation
SLE
Deposition of immune complexes in many organ systems leading to local inflammation
Spondyloarthropathies
Inflammation of entheses with subsequent new bone formation principally in the spine, as in ankylosing spondylitis
