Butterfly Melita Yvonne Dyason

DIAGNOSTIC HOMOEOPATHIC DOCTOR

Licence No.KZN00041D    Practice No. 0805033   Reg No: A01252

From illness to wellness

Rheumatoid Arthritis

is an
Inflammatory Joint Disease

Rheumatoid Arthritis

Is a chronic syndrome characterized by nonspecific, usually symmetric inflammation of the peripheral joints, potentially resulting in progressive destruction of articular and peri-articular structures. It's associated with systemic disturbance, a variety of extra-articular features and the presence of circulating anti-globulin antibodies [rheumatoid factor.]

Atiology is unknown. The immunologic changes may be initiated by multiple factors. About 1% of all populations are affected, women 2-3 times more than men. Onset may be at any age especially 25 - 50 years.

Clinically.

Most commonly onset is insidious,

Progression of the disease

Progress of the disease causes :

These include flexion contractures of

Extra-articular features are:

Fever: Weight loss, Fatigue, Susceptibility to infection.
Musculoskeletal: Muscle wasting, tenosynovitis, bursitis, osteoporosis
Blood: Anaemia, throbocytosis, eosinohilia [ESR raised]
Lymphatic: Lymphadenopathy, splenomegaly, Felty's syndrome [association
of splenomegally and neutropaenia with RA]
Amyloidosis; Gluco-protein
Nodules: Sinuses, fistulae
Eye: Episcleritis, scleritis, scleromalacia, kerato-conjunctivitis sicca
Vascular: Ulcers, digital arteritis, visceral arteritis
Heart: Peri-, myo-, endocarditis, conduction defects, vasculitis, aortitis
Lung: Nodules, pleural effusions, fibrosing alveolitis, bronchiolitis
Neurological: Cervical cord compression, compression neuropathies, peripheral neuropathy

Complications

Septic arthritis can occur in patients with longstanding nodular seropositive disease.

Diagnosis

This is one of the clinical features of inflammatory arthritis of 6 weeks duration

Criteria for Classification of Rheumatoid Arthritis

Any four criteria must be present to diagnose Rheumatoid Arthritis. The first four criteria must have been present for 6 weeks.

  1. Morning stiffness for > 1 hour
  2. Arthritis or > 3 joint areas
  3. Arthritis of hand joints [wrist, metacarpophalangeal or proximal interphalangeal joints]
  4. Symmetric arthritis
  5. Rheumatoid nodules
  6. Serum rheumatoid factor
  7. Radiographic changes.

Management [Allopathic]

Homoeopathic Management