How is rheumatoid arthritis diagnosed? What diseases are similar to rheumatoid arthritis?

First, it is common to distinguish it from rheumatoid arthritis. Rheumatoid arthritis is usually manifested by multiple, symmetrical metacarpoplar facet joints and spondylitis.

Second, sepsis. It can cause migratory arthritis, often with some signs of infection, positive blood and bone marrow cultures, and a tendency for suppuration of intra-articular exudate, which can be found.

Third, tuberculous arthritis is mostly a single joint involvement, which is more likely to occur in joints that are often moved by hand friction or weight-bearing.

Fourth, it is differentiated from tuberculosis infection and some allergic arthritis. Routine tests may show a positive TB antibody and a positive tuberculin test.

Fifth, to distinguish from lymphoma and granuloma, we can rely on pathological evidence.

Sixth, Lyme arthritis, a disease that is transmitted by the spleen.

Imaging tests can be done or blood tests can be done, which can be diagnosed; Traumatic arthritis, osteoarthritis.

If you want to diagnose rheumatoid arthritis, you must first judge it through some symptoms, and you can also go to the hospital in time for this examination; Osteoarthritis, traumatic arthritis and many more.

There are many types of arthritis, and rheumatoid arthritis is one of them. Rheumatoid arthritis is a common bone disease, which is complex and has not been clearly discussed so far, and may be related to bacterial, viral, genetic, psychiatric and other factors.

What are the symptoms of rheumatoid arthritis?

1. Joint pain

Joint pain is a symptom of most arthritis, and rheumatoid arthritis is no exception. Joint pain can occur in multiple joints, mainly large joints such as knees, ankles, and shoulders. Onset can occur in a single joint or in multiple joints at the same time.

Joint pain is significant in the acute inflammatory phase, accompanied by redness, swelling, and heat, which can be exacerbated in cold weather.

2. Morning stiffness

Morning stiffness refers to the appearance of stiffness, tightness, and inflexibility of the joints in the morning, which is one of the symptoms of rheumatoid arthritis. Morning stiffness occurs in the joints with a sticky stiffness that relieves or disappears with activity. The duration of morning stiffness varies depending on the severity of the disease, ranging from a short period of time to a full day.

3. Swelling of the joints

Joint swelling often occurs with joint pain and is an inflammatory manifestation of the periarticular tissue, which may be caused by fluid accumulation in the joint cavity or synovial hypertrophy.

4. Irregular fever

Rheumatoid arthritis may be preceded by irregular fever, usually mild to moderate fever, rapid pulse, sweating, and fever temperature that is not proportional to body temperature.

5. Involvement of other parts

Rheumatoid arthritis not only attacks the joints of the human body, but also other parts of the human body such as synovium, cartilage, ligaments, bursa, and muscle membranes, and the heart may also be affected during the active period of rheumatic fever, so some patients with rheumatoid arthritis are accompanied by myocarditis, pericarditis, etc., and may also have palpitations, shortness of breath and other manifestations.

6. Limitation of joint mobility

Due to the influence of pain, swelling and other symptoms, the joint movement will be limited, and the degree of restriction is directly proportional to the degree of the disease, and the more severe the disease, the greater the degree of restriction.

7. Joint deformity or rigidity

Due to inflammation, the muscles, ligaments and joint capsules are broken, and the joint loses its normal shape, and some joint deformation occurs, such as gooseneck deformity, button finger deformity, joint subluxation, and ulnar deviation of the metacarpophalangeal joint of the hand.

Rheumatoid arthritis needs to be developed early** because it can lead to some serious complications such as pneumonia, urinary tract infections, endocarditis, myocarditis, etc. All in all, early medical treatment and early recovery to maintain health.

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Rheumatoid arthritis should be distinguished from rheumatoid arthritis and other infectious arthritis, such as tuberculous arthritis and ankylosing spondylitis.

If the patient finds joint pain, fever and other manifestations, he should be tested in the hospital as soon as possible to achieve early diagnosis and **. The main symptoms of rheumatoid arthritis are fever, fatigue, tiredness, and anorexia.

The symptoms of joints are mainly manifested as wandering pain in the large joints of the whole body, such as the knee joint, ankle joint, elbow joint, shoulder joint, wrist joint, etc., accompanied by pain in the muscles around the joints, and can also be manifested as soreness, heaviness, and heaviness in the joint muscles.

Even some patients will have obvious redness, swelling, heat and pain, which can also manifest as the onset of several joints at the same time. Some patients also have other manifestations of rheumatic fever, such as subcutaneous nodules, erythema annula, and clinical signs of myocarditis.

Teenagers also have some typical chorea syndrome, in which children are hyperactive, such as eyebrows squeezing, excitedness, irritability, etc. The acute inflammatory phase usually lasts for 2-4 weeks and generally does not leave sequelae.

However, a small number of patients will develop chronic rheumatoid arthritis, which is easy to reverse.

It is best judged by the symptoms of the body. The joints will swell, sometimes there is no way to bend the knee properly, sometimes there will be warmth, redness and swelling, and it may also metastasize.

Rheumatoid arthritis is a common acute or chronic connective tissue inflammatory disease. During the inactive period, pay attention to joint exercise, keep the joints warm and avoid moisture. Diagnosis of rheumatoid arthritis is based primarily on clinical findings plus laboratory tests and evidence of prior streptococcal infection.

<>1. What kind of joint disease is rheumatism?

We all know that rheumatic arthritis is particularly severe, and it can have some rheumatic fever, which is also a joint disease. First of all, we can understand that wind fever may be divided into some types, also known as acute rheumatic fever, it will have some bacterial infections in it, and then it will affect the patient's immunity, at this time it may involve multiple systems, related to the heart aspect of the joint or the brain will eventually lead to some joints and heart speech, and it is permanent after it is generated, but there may be a temporary effect, and it may be more troublesome to want. And we know that rheumatoid arthritis may affect many joints, from a large joint to some small joints, and you will find that there may be some pain in the knees or shoulders and other joints, and there will be some redness and swelling, and the inflammation in it is particularly much, but the pain is the most serious, and some people may have neck or hands, and he has very severe pain, and there is also a feeling of swelling, especially in cold weather.

Second, the symptoms are more obvious

If it rains or the weather becomes cold, their joints will be very painful, but they will disappear through some drugs**, but the drugs are temporary, they are some anti-inflammatory drugs, if you want to completely cure it requires certain skills and some time. There will be some joint pain in the heart, it will also have some respiratory infections or colds, many people may have a routine analysis of blood cells, and there are some cover sedimentation speeds, but you will find rheumatoid arthritis, he and sincerely chatted for 1 3 months, many people may be accompanied by myocarditis, so it also takes a lot of time and a lot of money in the process.

Rheumatic diseases are a type of arthritis, and rheumatic diseases are diseases of the immune system. Especially on rainy days, the pain will be more intense and medication will be required**.

Mainly joint pain, muscle pain, fragile bones, blood vessels, soft tissues and other parts of the immune system decrease, if there is rheumatoid arthritis, it should be carried out in time**.

It's just that the bones hurt, and the bones hurt when it's cold. In addition to not catching a cold, nor can you get cold.

The diagnosis of rheumatoid arthritis needs to be based on the following aspects:

1. The course of the disease: usually 6 weeks as the boundary, and the joint swelling and pain of more than 6 weeks can be considered rheumatoid arthritis;

2. The location and number of affected imitation joints: rheumatoid arthritis usually involves small joints, and large joints can also be violated, commonly found in interphalangeal joints and metacarpophalangeal joints, and the number of joints involved is usually 3 and multi-joint involvement;

4. Imaging manifestations: X-ray large panping film can show bone erosion and bone destruction, and in recent years, there are new imaging techniques for the diagnosis of rheumatoid arthritis, such as MRI and ultrasound, which can show earlier rheumatoid arthritis damage, such as synovitis and small bone erosion and destruction.

The first is morning stiffness of no less than an hour.

When you wake up in the morning and find that your hands are very stiff, or the joints of your knees are very stiff, you have to move to relieve the stiffness after you wake up. If the stiffness persists for an hour, it is necessary to pay attention to it, and this is one of the diagnostic criteria.

Swollen joints. The second is swelling of 3 or more joints.

You will notice that your knees, or the joints on your hands, or the joints that hold your wrists, or more than 3 joints are swollen, and this is one of the criteria.

The third one is the joints of our wrists, and the metacarpophalangeal joints.

That is, when we clench our fists, the row of joints with the highest protrusion is called metacarpophalangeal joints, and there are proximal fingertip joints, and these joints are swollen in at least one place, and they will last for more than six weeks or more, which is also a diagnostic criterion.

Metacarpophalangeal joints, proximal interphalangeal joints.

The fourth is symmetrical swelling of the joints.

That is to say, symmetrical swelling of our knees or shoulders, or elbows, or wrists, is also a diagnostic criterion. If the fingers are symmetrical, or if there is symmetrical swelling of the toes, rheumatoid arthritis should be considered, and of course it is not required to be perfectly symmetrical.

How can I tell if I have rheumatoid arthritis? Guiyang Traditional Chinese Medicine Rheumatology Hospital said that there are two points.

1。Morning stiffness, the subjective feeling of being unable to move when waking up in the morning, is a nonspecific manifestation of arthritis whose duration is proportional to the severity of the inflammation.

2.。Manifestations of joint involvement include polyarticular involvement, joint deformity, and carpal tunnel-tarsal tunnel syndrome due to median nerve compression. 2b Posterior tibial nerve. Usually, you can take Jianlipolyaminosaccharide chondroitin to improve cartilage density and improve bone and joint nutrient loss.

What is rheumatoid arthritis? There is a layer of synovial membrane in the normal joint cavity, which can secrete a small amount of synovial fluid to lubricate and protect the joint, but when suffering from rheumatoid arthritis, the synovium produces an inflammatory reaction, and a large number of inflammatory cells infiltrate and accumulate in the synovium, causing the synovium to thicken and congest significantly, and secrete a large amount of fluid, and the joint is swollen and painful.

Rheumatoid arthritis is a chronic systemic autoimmune system disease dominated by arthritic lesions, because it is a difficult chronic disease, often reversed, although the disease itself is not enough to be fatal, but it will cause the patient's limb joints to deform, and affect the patient's ability to work and live, and some patients are even rejected by marriage or society.

Zhengzhou Gout and Rheumatism Hospital introduces what are the symptoms of rheumatoid arthritis? Usually only mild discomfort is felt at first, such as joint soreness, stiffness, and swelling. After that, the pain worsens and he gradually feels difficult to move.

The most commonly violated sites are the facet joints of the extremities, of which the most common sites are the proximal fingers, between the fingers and palms, and the wrists; parts of the foot, such as between the toes and the balls of the feet; Joints in the knees, ankles, shoulders, temporomandibular joints, and other areas may also be affected. In addition, the area of aggression is often "symmetrical", i.e., symptoms occur in the same part of the body on both the left and right sides of the body. After sleeping and resting for a long time, the hands become stiff (morning stiffness) and it is inconvenient to grasp things, which can be improved after activity.