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Artritis reumatoide

Enfermedad cronica y sistemica


Empieza en liquido sinovial

1. Inflamacion y proliferacion sinovial


2. Perdida de cartilago articular
3. Erosion del hueso yuxtaarticular

Factores de riesgo

Tabaquismo
Alcohol
Caf
Anticonceptivos orales
Estatus socioeconomico bajo

Epidemiologia
Mujeres x3
1% de la poblacion adulta

Contribucion genetica

Manifestaciones articulares
Poliartritis sistemica cronica
Factor reumatoide y Acs contra peptidos
ciclicos citrulinados (70%)
Erosion yuxtarticular
Reduccion del espacio articular

Inicio: Aparicion insidiosa de dolor,rigidez


e inflamacion articular
Puede ser precedida por reumatismo
palindromico
Sintomas sistemicos: Fatiga y febriculas

Rigidez articular matutina: dato


pivote

From: Chapter 15. Rheumatoid Arthritis


CURRENT Diagnosis & Treatment: Rheumatology, 3e, 2013

Legend:
The joint distribution of the two most common types of arthritis are compared: rheumatoid arthritis (A) and osteoarthritis (B).
Rheumatoid arthritis involves almost all synovial joints in the body. Osteoarthritis has a much more limited distribution. Importantly,
rheumatoid arthritis rarely, if ever, involves the distal interphalangeal joints, but osteoarthritis commonly does.

Date of download: 8/8/2014

Copyright 2014 McGraw-Hill Education. All rights reserved.

From: Section II. Rheumatoid Arthritis & Spondyloarthropathies


CURRENT Diagnosis & Treatment: Rheumatology, 3e, 2013

Legend:
A: A patient with early rheumatoid arthritis. There are no joint deformities, but the soft tissue synovial swelling around the third and
fifth proximal inter-phalangeal (PIP) joints is easily seen. B: A patient with advanced rheumatoid arthritis with severe joint
deformities including subluxation at the metacarpophalangeal joints and swan-neck deformities (hyperextension at the PIP joints).

Date of download: 8/10/2014

Copyright 2014 McGraw-Hill Education. All rights reserved.

Munheca

Sx del Tunel Carpiano


Desviacion radial de la munheca
Subluxacion palmar
Ruptura de tendones extensores

Pies
Subluxacion
Ulceras en las puntas de los dedos
Ambulacion dolorosa

Articulaciones grandes

Quistes sinoviales

From: Section II. Rheumatoid Arthritis & Spondyloarthropathies


CURRENT Diagnosis & Treatment: Rheumatology, 3e, 2013

Legend:
The joint distribution of the two most common types of arthritis are compared: rheumatoid arthritis (A) and osteoarthritis (B).
Rheumatoid arthritis involves almost all synovial joints in the body. Osteoarthritis has a much more limited distribution. Importantly,
rheumatoid arthritis rarely, if ever, involves the distal interphalangeal joints, but osteoarthritis commonly does.

Date of download: 8/8/2014

Copyright 2014 McGraw-Hill Education. All rights reserved.

Manejo
Analgesicos
AINES
Medicamentos Anti-Reumaticos
Modificadores de la Enfermedad