In a few people with RA -- about 5% to 10% -- the disease starts suddenly, and then they have no symptoms for many years, even decades. Symptoms that come and go. This happens to about 15% of people with rheumatoid arthritis. You may have periods of few or no problems that can last months between flare-ups.
It can be difficult for doctors to diagnose RA in its early stages because symptoms can be very subtle and go undetected on X-rays or in blood tests.
Signs and symptoms of rheumatoid arthritis may include: Tender, warm, swollen joints. Joint stiffness that is usually worse in the mornings and after inactivity. Fatigue, fever and loss of appetite.
Joint pain and morning stiffness are the most common early warning signs of RA. The joint pain of RA has some unique characteristics that separate it from joint pain due to other causes. The characteristics of joint pain caused by RA are: Multiple joints are affected at once (typically more than three joints).
Rheumatoid Arthritis and Lifespan
In the study, the median survival rate for healthy adults was approximately 82 years while the median survival rate for people with RA was approximately 77 years.
Magnetic resonance imaging (MRI) and ultrasound may help diagnose rheumatoid arthritis in the early stages of the disease. In addition, these imaging tests can help evaluate the amount of damage in the joints and the severity of the disease.
No blood test can definitively prove or rule out a diagnosis of rheumatoid arthritis, but several tests can show indications of the condition. Some of the main blood tests used include: erythrocyte sedimentation rate (ESR) – which can help assess levels of inflammation in the body.
Without appropriate treatment, chronic pain, disability, and excess mortality are unfortunate outcomes of this disease. RA causes joint damage in 80% to 85% of patients, with the brunt of the damage occurring during the first 2 years of the disease. Left untreated, the risk of mortality is increased.
Researchers think it's caused by a combination of genetics, hormones and environmental factors. Normally, your immune system protects your body from disease. With rheumatoid arthritis, something triggers your immune system to attack your joints. An infection, smoking or physical or emotional stress may be triggering.
These symptoms are clues to RA: Joint pain, tenderness, swelling or stiffness that lasts for six weeks or longer. Morning stiffness that lasts for 30 minutes or longer. More than one joint is affected.
For decades, X-rays were used to help detect rheumatoid arthritis (RA) and monitor for worsening bone damage. In the early stages of RA, however, X-rays may appear normal although the disease is active, making the films useful as a baseline but not much help in getting a timely diagnosis and treatment.
If a relative (parent, sibling, etc.) has RA, it increases one's risk of getting the disease, 0.8% compared to 0.5% for those who have no family history. Another study, conducted on identical twins, found that if one twin has RA, there is a 12-15% chance the other one will also have it.
That's why, in order to rule out these causes, the American College of Rheumatology requires 6 weeks of symptoms to make an RA diagnosis. And even if many of your lingering symptoms point to RA, “It doesn't mean you have it,” Shoor says. “It just means you should see a rheumatologist.”
The hallmark feature of rheumatoid arthritis (RA) is persistent symmetric polyarthritis (synovitis) that affects the hands and feet, though any joint lined by a synovial membrane may be involved. Extra-articular involvement of organs such as the skin, heart, lungs, and eyes can be significant.
We focus especially on the following for the purposes of diagnosis: We perform a thorough medical history, with particular attention to joint pain, reported swelling, and the presence, location (peripheral joints rather than low back), and duration (at least 30 minutes) of morning stiffness.
Lupus and Scleroderma
The autoimmune diseases systemic lupus erythematosus and scleroderma are two separate conditions but often present with joint involvement that mimics rheumatoid arthritis.
RA is symmetrical, where a patient feels symptoms in the same spot on both sides of the body, often in the joints in the feet and hands. Osteoarthritis, in contrast, begins in an isolated joint, often in the knee, fingers, hands, spine and hips. While both sides may hurt, one side is more painful.
People describe it as being overwhelming and uncontrollable. They feel worn out and drained of energy, and sometimes even lose all interest in anything. It can increase the need for sleep and make it hard to concentrate or do anything.
How can rheumatoid arthritis change your everyday life? It's common to have stiff and painful joints in the morning, making it difficult to get up and start the day. Everyday chores like cooking, laundry, cleaning, garden work and recreational activities can become a challenge as the disease progresses.
Heart disease should be considered a serious cause for concern among people with RA, even those who've yet to reach middle age.
More rarely, rheumatoid arthritis can cause inflammation in the white part (sclera) of your eyes, which can result in redness and pain. If you have rheumatoid arthritis and experience eye pain, vision changes or other eye problems, consult an ophthalmologist for an evaluation.