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 can be difficult to diagnose in its early stages because the early signs and symptoms mimic those of many other diseases. There is no one blood test or physical finding to confirm the diagnosis.
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.
Clinical History. The typical case of rheumatoid arthritis begins insidiously, with the slow development of signs and symptoms over weeks to months. Often the patient first notices stiffness in one or more joints, usually accompanied by pain on movement and by tenderness in the joint.
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).
If rheumatoid arthritis is not treated early or is not well controlled, the inflammation in your joints could lead to significant and permanent damage. Problems that can affect the joints include: damage to nearby bone and cartilage (a tough, flexible material that covers the surface of joints)
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.
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.
Rheumatoid arthritis (RA) has many physical and social consequences and can lower quality of life. It can cause pain, disability, and premature death. Premature heart disease. People with RA are also at a higher risk for developing other chronic diseases such as heart disease and diabetes.
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.
The difficult nature of rheumatoid arthritis can mean some people develop depression or feelings of stress and anxiety. Sometimes these feelings can be related to poorly controlled pain or fatigue. Living with a long-term condition makes you more likely to have emotions such as frustration, fear, anger and resentment.
Imaging Tests
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.
Early rheumatoid arthritis tends to affect your smaller joints first — particularly the joints that attach your fingers to your hands and your toes to your feet. As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders.
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.
A positive (abnormal) result means that a higher level of rheumatoid factor was found in your blood. This doesn't always mean that rheumatoid factors are causing your symptoms. But the higher your RF test results, the more likely it is that you have a condition linked to rheumatoid factors.
You can get rheumatoid arthritis (RA) at any age, but it's most likely to show up between ages 30 and 50. When it starts between ages 60 and 65, it's called elderly-onset RA or late-onset RA. Elderly-onset RA is different from RA that starts in earlier years.
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.
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.
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.
Rheumatoid arthritis can be one of the most painful types of arthritis; it affects joints as well as other surrounding tissues, including organs. This inflammatory, autoimmune disease attacks healthy cells by mistake, causing painful swelling in the joints, like hands, wrists and knees.
Pain from these autoimmune diseases can make it difficult for some people to brush or floss their teeth. A study conducted at the Johns Hopkins Arthritis Center found that gum disease and tooth loss are more prevalent in people who have rheumatoid arthritis (RA).
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.