A
shooting pain in the knee. A burning sensation in the hand. Before you know it,
you have rheumatoid arthritis.
Rheumatoid
arthritis is a chronic inflammation of the joints. Rheumatoid arthritis is an
autoimmune disease in which the immune system attacks normal tissues as if they
were invading antibodies. Rheumatoid arthritis also causes inflammation of the
tissues around the joints and other organs of the body. The hands and feet are
the most affected areas of rheumatoid arthritis although it can also affect any
joint lined by a membrane. Rheumatoid arthritis is referred to as a systematic
illness and sometimes called rheumatoid disease.
Rheumatoid
arthritis manifests itself over a period of a few months. However, for some, the
disease appears overnight. Accelerated onset of rheumatoid arthritis does not
mean the individual is at greater risk of the progression of the disease. Rheumatoid
arthritis can lasts for years without symptoms. But rheumatoid arthritis is an
illness that progresses and has the potential to cause joint destrution and functional
disability. Usually, patients suffer cycles from severe to light symptoms. In
terms of statistics, rheumatoid arthritis is three times more common in women
than in men. It also besets people of all races equally. Rheumatoid arthritis
can begin at any age but most often start in the early forties.
What
causes rheumatoid arthritis? The truth is, its cause is still unknown. Viruses,
bacteria, and fungi have long been suspected but none has been proven to be the
cause. The cause of rheumatoid arthritis has been the focus of different research
activities. There are some scientists who believe that the tendency to develop
rheumatoid arthritis may be genetically inherited while others believe that certain
factors in the environment might elicit the immune system to attack the body's
own tissue components. This attack results to the inflammation in various organs
such as lungs or eyes.
Researchers
have also found that environmental factors may also play a role in the cause of
rheumatoid arthritis. In fact, scientists reported that smoking tobacco increases
risk in the development of rheumatoid arthritis.
The
symptoms of rheumatoid arthritis depend on the degree of tissue inflammation.
Rheumatoid arthritis is said to be active if the body tissues are inflammed. When
the tissue inflammation subsides, rheumatoid arthritis is said to be in remission.
Remissions may happen spontaneously or with treatment and can last for weeks,
months, even years. During active rheumatoid arthritis, symptoms are felt. Symptoms
may include fatigue, lack of appetite, low grade fever, and muscles and joint
aches. Muscles and joint stiffness are usually felt during mornings and after
a period of inactivity. During relapses (from inactivity to activity) of rheumatoid
arthritis, joints become red, swollen, painful, and tender. This happens because
the tissue lining of the joints become inflamed which results in the excess production
of joint fluids.
Multiple
joints are usually inflamed in symmetrical pattern and the joints of both hands
and wrists are often affected. Simple tasks such as turning the door knob and
opening the jars can be painful. Rheumatoid arthritis can also affect the joint
responsible for the tightening of vocal cords to change the tone of the voice
although rarely. But when this happens, it can cause hoarseness of the voice.
As
mentioned before, rheumatoid arthritis is a systematic disease which can affect
organs and areas of the body other than the joints. Sjorgen's syndrome is the
inflammation of the glands of the eyes and mouth which causes dryness. Rheumatoid
inflammation of the lung lining can cause chest pains because the lung tissue
itself is inflamed and nodules of inflammation also develop within the lungs.
Rheumatoid arthritis can also reduce the number of red blood cells which can result
to anemia and white blood cells which can result to increase risk of infections.
A rare, serious complication of rheumatoid arthritis is blood vessel inflammation
which can impair blood supply to tissues and lead to death of tissues.
A
rheumatologist is a doctor who specializes in arthritis and other related diseases.
The rheumatologist reviews the history of symptoms, examines the joints, and the
other parts of the body for the inflammation. The diagnosis is usually based on
the pattern of symptoms, the distribution of the inflamed joints, and the blood
and x-rays obtained.
Until
now, there is no known cure for rheumatoid arthritis. Reducing joint inflammation
and pain, maximizing joint function, and preventing joint destruction is the current
goal in treating rheumatoid arthritis. Early medical intervention has been found
to improve outcomes in treatment. Optimal treatment includes combination of medications,
joint strengthening exercises, joint protection, and patient education. Treatment
is customized according to many factors such as disease activity, types of joints
involved, general health, age, and occupation. But treatment is most successful
when there is close cooperation between the doctor and the patient.
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