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Rheumatoid Arthritis

Rheumatoid arthritis is a disorder where, for some unknown reason, the body's own immune system starts to attack body tissues. The attack is not only directed at the joint but to many other parts of the body. In rheumatoid arthritis, most damage occurs to the joint lining and cartilage which eventually results in erosion of two opposing bones. Rheumatoid arthritis affects joints in the fingers, wrists, knees and elbows. The disease is symmetrical and leads to severe deformity in a few years. Rheumatoid arthritis occurs in the ¾th decade of life. In children, the disorder can present with a skin rash, fever, pain, disability, and limitations in daily activities. No one knows why rheumatoid arthritis occurs and all treatments are focused on easing the symptoms. With earlier diagnosis and aggressive treatment, many individuals can lead a decent quality of life. The drugs to treat rheumatoid arthritis range from corticosteroids to monoclonal antibodies given intravenously. The latest drugs like Remicade can significantly improve quality of life in the short term. In rare cases, surgery may be required to replace joints but there is no cure for the illness.

Rheumatic fever has now seen resurgence in America primarily because of mass immigration of people from developing countries. The disorder can present with a migratory nature of arthritis with many other features like heart problems, skin rash, gait abnormality and skin nodules.

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