Lupus. When lupus, a systemic autoimmune disease, affects the joints, it can cause symptoms similar to RA. Most people with lupus also experience flares, where symptoms get worse, then improve or disappear. Other similar signs of lupus and RA include fatigue, fever, and dry eyes.
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.
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.
Correct diagnosis of early rheumatoid arthritis (RA) is essential for optimal treatment choices. No pathognomonic test is available, and diagnosis is based on classification criteria, which can result in misdiagnosis.
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.
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.
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.
What causes RA? RA is the result of an immune response in which the body's immune system attacks its own healthy cells. The specific causes of RA are unknown, but some factors can increase the risk of developing the disease.
The best way to tell the difference between the two diseases is to judge your symptoms. RA will be most present in the joints, whereas MS can cause symptoms in many areas of the body.
Tendinitis is an inflammation or irritation of a tendon, usually where it attaches to a joint. It can occur in any of your tendons and commonly affects areas around your shoulders, elbows, wrists, knees, and heels. Symptoms of tendinitis include: A dull pain worsening with movement.
The symptoms of rheumatoid arthritis often develop gradually over several weeks, but some cases can progress quickly over a number of days. The symptoms vary from person to person. They may come and go, or change over time. You may experience flares when your condition deteriorates and your symptoms become worse.
Rheumatoid arthritis causes visible damage to joints. Fibromyalgia does not. Rheumatoid arthritis also gets progressively worse, causing swelling and sometimes deformities. The pain from fibromyalgia is more widespread, while rheumatoid arthritis is concentrated initially to hands, wrists, knees and balls of the feet.
A person with RA may feel intense pain in their joints during flares. This can feel like sustained pressure, a burning sensation, or a sharp pain. However, people with RA may also experience periods of remission when they feel few to no symptoms. In addition to causing joint pain, RA can affect the whole body.
Methotrexate is usually the first medicine given for rheumatoid arthritis, often with another DMARD and a short course of steroids (corticosteroids) to relieve any pain. These may be combined with biological treatments.
Palindromic rheumatism is a rare condition where symptoms like those of rheumatoid arthritis – joint inflammation, pain and swelling – come on suddenly and then disappear just as quickly.
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.
The symptoms of rheumatoid arthritis often develop gradually over several weeks, but some cases can progress quickly over a number of days. The symptoms vary from person to person. They can come and go, and may change over time.
Magnetic resonance imaging (MRI) shows changes in bone and cartilage and can discriminate these from fluid and soft tissue around the joints, making it a good technique to measure synovial volume and inflammation characteristic of rheumatoid arthritis (RA).
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.
Like many autoimmune diseases, rheumatoid arthritis (RA) can be notoriously difficult to diagnose, especially in the early stages. In fact, nearly half of people diagnosed with RA may actually have another condition, according to a study in the Annals of Rheumatic Diseases.