RHEUMATOID ARTHRITIS for the internist. Christopher Parker CPT (P), MC, USA Rheumatology Service WRAMC. Introduction. Interactive format Clinical features Laboratory features Extra-articular features Management considerations and paradigms Prognosis.
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CPT (P), MC, USA
55 YOF complains of months of bilateral hand pain. She describes progressive morning stiffness lasting 3 hours with wrist, MCP, and PIP pain and swelling. She has also noted
some discomfort and perhaps swelling in her wrists,
shoulders, knees, and toes. Review of systems is unremarkable.
What historical features speak for RA?
H/H = 10/30 with normal RDW
P1-3 + uric acid normal
U/A normalLaboratory Exam
Are NSAIDs enough?
What other medications could you use?
(binding site for TNF-a)
Knight, et al. Mol Immunol. 1993.