These incurable diseases may be a special type of rheumatoid arthritis!

*For medical professionals only, there are some special types that are often considered intractable diseases
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The diagnosis of typical rheumatoid arthritis is not difficult, but some special types are often regarded as intractable diseases due to the lack of awareness of patients and even some doctors, which leads to detours in diagnosis and treatment, and even delays the disease.

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To this end, Xiaobian is here today to introduce these special rheumatoid arthritis
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Mild seronegative symmetric synovitis with pitting edema syndrome is a tongue-in-cheek name, but it basically sums up the disease features
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The clinical manifestations were acute inflammation of symmetrical wrist joints, flexor tendon sheaths, and facet joints of the hand, with pitting edema on the back of the hand
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The onset of the disease is rapid, and it usually occurs in elderly men over 60 years old.
Bilateral elbows, shoulders, hips, knees, ankles and foot joints can be affected
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Systemic manifestations may include fatigue, fever, weight loss, rash, and muscle pain
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The patient's rheumatoid factor and antinuclear antibodies were negative, the erythrocyte sedimentation rate increased, the C-reactive protein increased, hypoalbuminemia, mild anemia, etc.
, and there was no joint bone destruction in X-ray examination
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Patients are often sensitive to low-dose hormone therapy and have a good prognosis, but may also develop rheumatoid arthritis and other connective tissue diseases
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Such patients should be followed up for a long time to prevent changes in their condition
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Repetitive rheumatism, also known as relapsing rheumatism, is more common between the ages of 30 and 60, with migratory pain in the joints, characterized by joint redness, swelling, heat, pain, and intermittent attacks
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Joint pain usually attacks in the afternoon, the onset is sudden, the pain peaks in a few hours to a few days, and can be relieved suddenly
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No symptoms in intermittent period, no clear pattern of attacks
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The disease recurs without permanent synovitis or joint damage
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Systemic symptoms are rare, and the erythrocyte sedimentation rate is mostly elevated when joint symptoms occur.
About half of the patients are rheumatoid factor positive and antinuclear antibody negative
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In addition to the typical symptoms of rheumatoid arthritis, Ferty's syndrome is accompanied by splenomegaly and leukopenia, often with skin pigmentation, lower extremity ulcers, generalized lymphadenopathy, anemia, and thrombocytopenia
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The degree of joint involvement in Ferty syndrome is more severe than that of general rheumatoid arthritis, with more bone erosion and deformity
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Most of the patients were positive for high titer of rheumatoid factor; some patients with hepatomegaly may have hepatitis B surface antigen positive, but normal liver function
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The incidence of rheumatoid vasculitis is less than 1%, and it is one of the manifestations of severe rheumatoid arthritis
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Vessels of any size can be involved, but medium and small arteries are more common
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Skin, nervous system, heart, lung, kidney, gastrointestinal tract and other system damage can occur, of which cutaneous phlebitis is the most common
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It is generally believed that deep ulcers on the skin of the ankle are a sign of rheumatoid vasculitis, with diameters more than 1 cm and irregular edges
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Finally, the editor reminds: If you have joint swelling, morning stiffness, etc.
and the symptoms related to the above-mentioned special types of rheumatoid arthritis, please visit the local rheumatology and immunology department in time for systematic diagnosis and treatment! References: [1] Bi Ying.
Special types of rheumatoid arthritis [J].
Chinese Journal of Practical Rural Doctors, 2014: 11.
[2] Pang Chongjie.
Special types of rheumatoid arthritis [J].
Seeking a doctor and asking for medicine), 2001:12 Source: rheumatism leap month said editor in charge: orange copyright statement This article is reprinted, welcome to forward it to the circle of friends~- End - The medical community strives to be accurate and reliable when it is approved, but it does not care about the published content.
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