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Rheumatoid Arthritis — clinical reference photo
Bones & Joints

Rheumatoid Arthritis

A chronic autoimmune inflammatory disorder that affects the joint lining and can involve other body systems.

Overview

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In some people the condition damages a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.

Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of the joints, causing painful swelling that can eventually result in bone erosion and joint deformity. About 40% of people also experience signs that do not involve the joints.

Periods of increased disease activity, called flares, alternate with periods of relative remission when swelling and pain fade.

Common symptoms

  • Tender, warm, swollen joints
  • Joint stiffness that is worse in the mornings and after inactivity
  • Fatigue, fever and loss of appetite
  • Small joints of the fingers and toes affected first, usually symmetrically
  • Later spread to wrists, knees, ankles, elbows, hips and shoulders

Prevention & self-care

  • Do not skip disease-monitoring blood tests
  • Protect joints during flares; resume movement gently after
  • Stop smoking — it worsens RA activity
  • Track flares in a diary so remedies can be matched to your pattern

When to see a doctor

See a clinician promptly for symmetrical joint swelling with prolonged morning stiffness, or new breathlessness, eye pain or skin nodules.

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