Download Atlas of Rheumatology by Eric L. Matteson (auth.), Gene G. Hunder MD (eds.) PDF

By Eric L. Matteson (auth.), Gene G. Hunder MD (eds.)

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The elevated synovial fluid leukocyte count (eg, articular cartilage. Pathologic changes develop in other joint tissues 1000 to 2000 cells/mmJ) and histologic changes of mild synovitis as the disease progresses; osteophytes form at the osteochondral present in many. but not all. patients with osteoarthritis are junction. the synovium becomes inflamed and fibrotic. tears and evidence that chronic inflammation is a sequela of cartilage fibrillation damage the menisci. and sclerosis and cystic changes damage.

Splinting contnbutes greatly to pain relief and stabilization ofthe affected joint. Both active and resting splinting are used. This is an example of a splint used to immobilize the wrist of a patient with active rheumatoid arthritis. This splint permits the use of the fingers, and can be worn during activity and at rest. Splints and orthotics, including shoe inserts, do not prevent joint deformities in this disease. Juvenile Rheumatoid Arthritis Criteria and TYpes JIRA--DEl=tNf1r1ON of ons~t <16 y of ag~ Exclusion of oth~r caus~s of childhood arthritis Continuous pr~s~nc~ of arthritis for at I~ast 6 wk Arthritis is d~fin~d as: Joint swdling or ~ffusion, or Two of th~ following: joint t~nd~rn~, d~cr~as~d ROM, pain on ROM.

Edited by Kelley WN, Harris ED Jr, Ruddy S, Sledge CB. Philadelphia: WB Saunders; 1997, 241-249. 26. Schumacher HR Jr, Reginato AJ: Atlas of Synovial Fluid Analysis and Crystal Identification. Philadelphia: Lea & Febiger; 1991. 27. Fassbender H-G: Inflammatory reactions in arthritis. In Immunopharmacology of Joints and Connective Tissue. Edited by Davies ME, Dingle JT. London: Harcourt, Brace; 1994:166-198. 28. Ad Hoc Subcommittee on Clinical Guidelines: Guidelines for the management of rheumatoid arthritis.

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