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Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the joints, causing inflammation, pain, swelling, and, if left untreated, joint damage. Here's a brief overview of rheumatoid arthritis:

Autoimmune Nature: Rheumatoid arthritis is an autoimmune disorder, which means the immune system mistakenly attacks the body's own healthy tissues, especially the synovium, a lining of the membranes that surrounds the joints.

Causes: The exact cause of RA is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Infections, hormonal changes, and smoking have been linked to an increased risk of developing the condition.

Symptoms: Common symptoms of rheumatoid arthritis include joint pain, swelling, stiffness (often more pronounced in the morning), and decreased range of motion. RA can affect multiple joints throughout the body and can lead to fatigue and systemic symptoms, such as fever and weight loss.

Joint Involvement: RA typically affects the small joints of the hands and feet, but it can also involve larger joints, such as the knees, wrists, and elbows. Over time, joint damage can occur, leading to deformities and loss of function.

Diagnosis: Diagnosis is made based on a combination of medical history, physical examination, blood tests (such as rheumatoid factor and anti-citrullinated protein antibodies), and imaging studies (X-rays, ultrasound, or MRI) to assess joint damage.

Treatment: The goal of RA treatment is to control inflammation, relieve symptoms, prevent joint damage, and improve the patient's quality of life. Treatment approaches may include:

  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic drugs.
  • Physical therapy: To maintain joint function and improve mobility.
  • Lifestyle modifications: Including regular exercise, a balanced diet, and joint protection techniques.
  • Surgery: In severe cases, joint replacement surgery may be necessary to address joint damage.