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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Monoarthritis (involvement of one joint) may indicate infection; oligoarthritis (two to four joints) occurs in psoriatic arthritis (PsA); and polyarthritis (at least five joints) is common in RA.
Musculoskeletal and Soft-Tissue Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Acute joint pain in the ED may be divided into three main types: Acute monoarthritisAcute polyarthritisPeriarticular swellings.
Limbs
Published in Keith Hopcroft, Vincent Forte, Symptom Sorter, 2020
This is a very common problem in primary care. Usually, there are few physical signs, although occasionally a genuine monoarthritis with all the classical signs of inflammation will present. Overall, the most likely aetiological factor is trauma, though other conditions may already affect a joint. In the elderly, an exacerbation of osteoarthritis is common; this condition may also cause multiple joint pain. The knee is probably the single most frequently affected joint.
Outcome of transition phase patients with juvenile idiopathic arthritis
Published in Modern Rheumatology, 2018
Heikki Relas, Riitta Luosujärvi, Silja Kosola
Juvenile idiopathic arthritis (JIA) is a group of arthritides that emerge before the age of 16 [1]. The incidence of JIA in the Nordic countries is 15–19.5/100,000 [2]. The course of disease varies from self-limiting monoarthritis to chronic destructive forms of polyarthritis [3]. Up to 50% of JIA patients were not in remission 8 years after diagnosis in a Nordic population-based study [4], and radiological joint damage may be as common as in adult onset rheumatoid arthritis [5]. Although the prognosis of JIA has improved in the past decades [6], transition from pediatric care to an adult clinic is a challenging time period for maintaining a good doctor–patient relationship as well as continuity of treatments and satisfactory disease control. Transitional care programs have been developed to meet the special needs of adolescent patients [7–10], and recommendations for the transition of care of young people with JIA have been published recently [11]. However, evidence on the outcome and medications of transition phase (16–24 years) patients are still limited.
Lessons learned from clinical phenotypes in early psoriatic arthritis: the real-world Dutch south west Early Psoriatic ARthritis study
Published in Scandinavian Journal of Rheumatology, 2021
FR Kasiem, JJ Luime, M Vis, MR Kok, K Wervers, AH Gerards, CWY Appels, WL van der Graaff, MJF Starmans-Kool, YPM Goekoop-Ruiterman, JHLM van Groenendael, L-A Korswagen, JJ Veris-van Dieren, JMW Hazes, I Tchetverikov
In this paper, we described the baseline characteristics according to clinical phenotype of patients with early PsA in the real-world DEPAR study. The 527 patients included so far showed most patients having predominantly arthritis (monoarthritis, oligoarthritis, or polyarthritis). Quality of life was impaired in the entire group of patients. Skin involvement was relatively mild, as was the impact of psoriasis on daily life. The impact of joint inflammation and joint inflammation combined with psoriasis on daily life was comparable. This finding suggests that the degree of joint involvement is more burdensome than psoriasis in early PsA patients presenting at outpatient rheumatological clinics in The Netherlands.
Bilateral sacroiliitis following group C streptococcal sepsis
Published in Baylor University Medical Center Proceedings, 2022
Sanjeev Shrestha, Eva Rottmann, Prakash Kharel, Francis Lim, David Henry Bulbin
Reactive arthritis presents 95% of the time with acute peripheral monoarthritis, or asymmetrical oligoarthritis in the lower extremities, while upper extremity involvement is uncommon.1,3 Radiographic findings can be nonspecific, ranging from irregular periosteum at the site of entheses to soft tissue swelling.3 Studies have cited an incidence of reactive arthritis of around 1.2% after Shigella infection, 1.2% following Salmonella infection, 0.9% following Campylobacter infection, and 4% to 8% following Chlamydia infection.3 Post-streptococcal reactive arthritis following non–group C streptococcal infection is rare.