"Rheumatoid Arthritis" asked ten times in a row, do you know the answer?

*Read only for medical professionals.
Is rheumatoid arthritis? When it comes to "arthritis", many people tend to associate it with "rheumatoid arthritis"
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However, you may not know that there are more than 100 types of "arthritis", such as osteoarthritis, rheumatoid arthritis, psoriatic arthritis.
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Among them, rheumatoid arthritis is more common, so many people only have joints Swelling and pain, I suspect I have rheumatoid arthritis
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Is that true? The editor will talk to you about "rheumatoid arthritis" today~~~ 1.
Will humidity cause rheumatoid arthritis? There is currently no clear evidence for this
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However, for rheumatoid arthritis patients, it is indeed easy to experience joint swelling and aggravation of pain in a humid and cold environment
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 This is mainly due to the defects of vasoconstriction and nerve allocation in patients with rheumatoid arthritis, and they are more sensitive to the humid environment, which will cause joint pain
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Secondly, in the humid and cold environment of rheumatoid arthritis patients, the flow of local joint fluid is slowed down, and inflammatory substances are easy to accumulate in the joints, which in turn will cause increased pain and swelling
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  2.
What are the characteristics of rheumatoid arthritis? The most common symptoms of rheumatoid arthritis patients are joint pain and swelling, but the disease course and manifestations vary
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Most patients with rheumatoid arthritis are in a process of "onset-remission-onset-remission", during which the disease will continue to worsen without intervention
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 Rheumatoid arthritis may also cause the symptoms of stiff hands and immobility in the morning, which we call "morning stiffness"
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"Morning stiffness" may be a manifestation of many joint diseases, but it is particularly prominent in rheumatoid arthritis.
Many patients with rheumatoid arthritis may have morning stiffness for more than 1 hour
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 Rheumatoid arthritis easily affects the facet joints of the hands and feet, and most of them are symmetrically distributed
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 When rheumatoid arthritis lasts for a long time, joint deformation may also occur
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 3.
Is rheumatoid arthritis curable? Up to now, since the etiology of rheumatoid arthritis has not yet been clarified, the effect of completely eliminating the cause and curing the disease has not yet been achieved
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The goals of clinical treatment are to help patients relieve symptoms, control disease progression, and prevent joint destruction
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Most patients with rheumatoid arthritis require long-term medication, and regularly visit the hospital for observation and follow-up
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Therefore, rheumatoid arthritis belongs to the category of chronic diseases, such as high blood pressure and diabetes.
The disease can be stabilized through drug control, and people can work and live normally.
I hope that the majority of patients will treat this disease with a good attitude
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 4.
I have suffered from rheumatoid arthritis for decades, and my hands and feet have been deformed.
How to treat it? For patients with advanced rheumatoid arthritis, the goal of treatment is to relieve symptoms, relieve pain, delay the progression of joint disease, and preserve joint function
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Therefore, for patients with joint deformities, the disease activity should be fully evaluated; if there is still disease activity, active control of the disease is essential
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 In addition, if the deformed joint still has residual function, the patient should be helped as much as possible to carry out rehabilitation exercises in clinical practice, so that the remaining joint function can be preserved as much as possible, so as not to further degenerate
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 5.
Can routine blood tests detect rheumatoid arthritis? No.

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 When doctors investigate rheumatoid arthritis, they will first check the patient's joint swelling and pain, and then will perform some routine tests on the patient, such as blood routine, biochemistry, erythrocyte sedimentation rate, and C-reactive protein
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In addition, the focus should be on the examination items related to rheumatoid arthritis and the examination items for differential diagnosis, such as rheumatoid factor, anti-cyclic citrullinated peptide antibody, and antinuclear antibody
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 In addition, in order to confirm the diagnosis and assess the degree of joint damage, imaging evaluation, such as X-ray, joint ultrasound, joint nuclear magnetic resonance, etc.
, should be carried out
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 6.
Does a positive rheumatoid factor indicate rheumatoid arthritis? Not necessarily
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 Many other diseases may also lead to rheumatoid factor positive, such as chronic hepatitis (hepatitis B, hepatitis C), tumor, Sjögren's syndrome, systemic lupus erythematosus, etc.
In addition, 5% of normal elderly people can also have rheumatoid factor positive
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 7.
What are the diagnostic criteria for rheumatoid arthritis? The diagnostic criteria for rheumatoid arthritis mainly revolve around the site and number of joint involvement, inflammatory markers, and autoantibodies
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The commonly used clinical diagnostic criteria include the classification criteria for rheumatoid arthritis formulated by the American College of Rheumatology (ACR) in 1987 and the classification criteria formulated by the ACR/European League Against Rheumatism (EULAR) in 2009
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If you have joint symptoms, you need to go to the rheumatology department of a regular hospital for treatment.
Rheumatologists will give a clear diagnosis based on clinical and classification criteria
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 8.
I have rheumatoid arthritis, joint pain and unable to exercise, what should I do? In the acute stage of pain in patients with rheumatoid arthritis, it is not recommended to exercise
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It is recommended to exercise without weight-bearing joints, such as brisk walking, Tai Chi, cycling, swimming, etc.
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 9.
Do patients with rheumatoid arthritis need to avoid food? There is no direct relationship between rheumatoid arthritis and diet, and patients can usually eat normally
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It is recommended to quit smoking and drinking.
Patients taking non-steroidal anti-inflammatory drugs are advised to avoid spicy and stimulating food to reduce the irritation to the gastrointestinal mucosa
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10.
What problems should rheumatoid arthritis patients usually pay attention to? Take medicine on time, follow up regularly, and avoid reducing and stopping medicines by yourself; pay attention to proper exercise to maintain the normal function and state of joints and muscles; avoid trauma, cold, fatigue, infection and other incentives; maintain a healthy and regular life>
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 Source of this article: Friendship Rheumatism Information Editor of this article: The Department of Rheumatology, Beijing Friendship Hospital Affiliated to Orange Capital Medical University will recruit 2 postdoctoral fellows in 2022! If you are interested, please send your resume to 57495011@qq.
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